39D2134960 CLIA NUMBER - LACK TUSCARORA EMERGENCY MEDICAL SERVICES, INC

Laboratory Demographics

  • CLIA Code: 39D2134960
  • Facility Name: LACK TUSCARORA EMERGENCY MEDICAL SERVICES, INC
  • Facility Address: 9320 ROUTE 75 SOUTH
    EAST WATERFORD, PA
    ZIP 17021
  • Facility Phone: 717 734-3959
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DEBORAH S. HOPKINS
  • NPI Number: 1578562302
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2134960
LAB Type Ambulance
Facility Name LACK TUSCARORA EMERGENCY MEDICAL SERVICES, INC
Street 9320 ROUTE 75 SOUTH
City EAST WATERFORD
State PA
ZIP 17021
Phone 717 734-3959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Ambulance
Lab Director DEBORAH S. HOPKINS

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