39D2051825 CLIA NUMBER - ELITE EMS, INC

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Laboratory Demographics

CLIA Number: 39D2051825

Facility Name: ELITE EMS, INC

Facility Address:
3625 EAST STATE STREET
HERMITAGE, PA
ZIP 16148
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Facility Phone Number: 724 342-3670

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1215237268

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	39D2051825
LAB Type	Ambulance
Facility Name	ELITE EMS, INC
Street	3625 EAST STATE STREET
City	HERMITAGE
State	PA
ZIP	16148
Phone	724 342-3670
CertificateType	4
CertificateEffectiveDate	12/28/2022
CertificateExpirationDate	12/27/2024
FacilityType	Waiver

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