39D2051825 CLIA NUMBER - ELITE EMS, INC

Laboratory Demographics

  • CLIA Code: 39D2051825
  • Facility Name: ELITE EMS, INC
  • Facility Address: 3625 EAST STATE STREET
    HERMITAGE, PA
    ZIP 16148
  • Facility Phone: 724 342-3670
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: GLENN MILLER
  • NPI Number: 1215237268
  • Taxonomy: 3416L0300X - Ambulance

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Ambulance
Lab Director GLENN MILLER

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