39D2135374 CLIA NUMBER - MONTGOMERY VOL FIRE CO

Laboratory Demographics

  • CLIA Code: 39D2135374
  • Facility Name: MONTGOMERY VOL FIRE CO
  • Facility Address: 24 MONTGOMERY STREET
    MONTGOMERY, PA
    ZIP 17752
  • Facility Phone: 570 547-1380
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. GREGORY FRAILEY
  • NPI Number: 1609820380
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 39D2135374
LAB Type Ambulance
Facility Name MONTGOMERY VOL FIRE CO
Street 24 MONTGOMERY STREET
City MONTGOMERY
State PA
ZIP 17752
Phone 570 547-1380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Ambulance
Lab Director DR. GREGORY FRAILEY

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