39D2133993 CLIA NUMBER - MILDRED AMBULANCE ASSOCIATION, INC

Laboratory Demographics

  • CLIA Code: 39D2133993
  • Facility Name: MILDRED AMBULANCE ASSOCIATION, INC
  • Facility Address: 113 SCHOOL ROAD
    MILDRED, PA
    ZIP 18632
  • Facility Phone: 570 928-8878
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: GREGORY FRAILEY
  • NPI Number: 1245431618
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2133993
LAB Type Ambulance
Facility Name MILDRED AMBULANCE ASSOCIATION, INC
Street 113 SCHOOL ROAD
City MILDRED
State PA
ZIP 18632
Phone 570 928-8878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Ambulance
Lab Director GREGORY FRAILEY

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