39D2059513 CLIA NUMBER - COTTAGE AMBULANCE INC

Laboratory Demographics

  • CLIA Code: 39D2059513
  • Facility Name: COTTAGE AMBULANCE INC
  • Facility Address: 2 GREENFIELD ROAD
    CARBONDALE, PA
    ZIP 18407
  • Facility Phone: 570 282-6710
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: STEPHEN W. FISH
  • NPI Number: 1306268131
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2059513
LAB Type Ambulance
Facility Name COTTAGE AMBULANCE INC
Street 2 GREENFIELD ROAD
City CARBONDALE
State PA
ZIP 18407
Phone 570 282-6710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Ambulance
Lab Director STEPHEN W. FISH

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