39D2135387 CLIA NUMBER - LAKE SHORE FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 39D2135387

Facility Name: LAKE SHORE FIRE DEPARTMENT

Facility Address:
5310 W LAKE RD
ERIE, PA
ZIP 16505
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Facility Phone Number: 814 833-6508

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1609081033

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	39D2135387
LAB Type	Ambulance
Facility Name	LAKE SHORE FIRE DEPARTMENT
Street	5310 W LAKE RD
City	ERIE
State	PA
ZIP	16505
Phone	814 833-6508
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