39D1067596 CLIA NUMBER - SUPERIOR AMBULANCE SERVICE INC

Laboratory Demographics

  • CLIA Code: 39D1067596
  • Facility Name: SUPERIOR AMBULANCE SERVICE INC
  • Facility Address: 921 EAST MAIN STREET EXT
    GROVE CITY, PA
    ZIP 16127
  • Facility Phone: 724 458-5350
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DOUGLAS L. DICK
  • NPI Number: 1144393448
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D1067596
LAB Type Ambulance
Facility Name SUPERIOR AMBULANCE SERVICE INC
Street 921 EAST MAIN STREET EXT
City GROVE CITY
State PA
ZIP 16127
Phone 724 458-5350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Ambulance
Lab Director DOUGLAS L. DICK

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This page was last updated on: 9/29/2025