39D1067597 CLIA NUMBER - TLC ADVANCED LIFE SUPPORT LLC

Laboratory Demographics

  • CLIA Code: 39D1067597
  • Facility Name: TLC ADVANCED LIFE SUPPORT LLC
  • Facility Address: 1819 WOODEN BRIDGE ROAD
    THREE SPRINGS, PA
    ZIP 17264
  • Facility Phone: 717 372-1178
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TAMMY L. COOK
  • NPI Number: 1801888664
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D1067597
LAB Type Ambulance
Facility Name TLC ADVANCED LIFE SUPPORT LLC
Street 1819 WOODEN BRIDGE ROAD
City THREE SPRINGS
State PA
ZIP 17264
Phone 717 372-1178
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 TAMMY L. COOK

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