39D2002667 CLIA NUMBER - DH&L AMBULANCE LEAGUE

Laboratory Demographics

  • CLIA Code: 39D2002667
  • Facility Name: DH&L AMBULANCE LEAGUE
  • Facility Address: 713 BRIDGE STREET, SUITE 14
    SELINSGROVE, PA
    ZIP 17870
  • Facility Phone: 570 374-0444
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. MURTY GANTI
  • NPI Number: 1114080892
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Ambulance
Lab Director MR. MURTY GANTI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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