39D2133997 CLIA NUMBER - BENNETT'S VALLEY AMBULANCE

Laboratory Demographics

  • CLIA Code: 39D2133997
  • Facility Name: BENNETT'S VALLEY AMBULANCE
  • Facility Address: 12479 BENNETT'S VALLEY HWY
    PENFIELD, PA
    ZIP 15849
  • Facility Phone: 814 637-5725
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DONALD C. LOGAN
  • NPI Number: 1720061997
  • Taxonomy: 251V00000X - Voluntary or Charitable

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2133997
LAB Type Ambulance
Facility Name BENNETT'S VALLEY AMBULANCE
Street 12479 BENNETT'S VALLEY HWY
City PENFIELD
State PA
ZIP 15849
Phone 814 637-5725
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 DONALD C. LOGAN

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