39D2002667 CLIA NUMBER - DH&L AMBULANCE LEAGUE

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Laboratory Demographics

CLIA Number: 39D2002667

Facility Name: DH&L AMBULANCE LEAGUE

Facility Address:
713 BRIDGE STREET, SUITE 14
SELINSGROVE, PA
ZIP 17870
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Facility Phone Number: 570 374-0444

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1114080892

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	39D2002667
LAB Type	Ambulance
Facility Name	DH&L AMBULANCE LEAGUE
Street	713 BRIDGE STREET, SUITE 14
City	SELINSGROVE
State	PA
ZIP	17870
Phone	570 374-0444
CertificateType	4
CertificateEffectiveDate	1/22/2024
CertificateExpirationDate	1/21/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024