39D2134010 CLIA NUMBER - FIVEPOINTVILLE AMBULANCE

Laboratory Demographics

  • CLIA Code: 39D2134010
  • Facility Name: FIVEPOINTVILLE AMBULANCE
  • Facility Address: 1094 DRY TAVERN RD
    DENVER, PA
    ZIP 17517
  • Facility Phone: 717 445-5937
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DAVID R. FISHER
  • NPI Number: 1295731198
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2134010
LAB Type Ambulance
Facility Name FIVEPOINTVILLE AMBULANCE
Street 1094 DRY TAVERN RD
City DENVER
State PA
ZIP 17517
Phone 717 445-5937
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 DAVID R. FISHER

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