39D2135376 CLIA NUMBER - FAIRVIEW FIRE & RESCUE

Laboratory Demographics

CLIA Number: 39D2135376

Facility Name: FAIRVIEW FIRE & RESCUE

Facility Address:
7190 WEST RIDGE ROAD
FAIRVIEW, PA
ZIP 16415
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Facility Phone Number: 814 474-5091

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1073651667

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	39D2135376
LAB Type	Ambulance
Facility Name	FAIRVIEW FIRE & RESCUE
Street	7190 WEST RIDGE ROAD
City	FAIRVIEW
State	PA
ZIP	16415
Phone	814 474-5091
CertificateType	4
CertificateEffectiveDate	8/22/2023
CertificateExpirationDate	8/21/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024