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39D2136766 CLIA NUMBER - GREATER COLUMBIA MEDICAL TRANSPORT SERVICE, LLP

Laboratory Demographics

CLIA Number: 39D2136766

Facility Name: GREATER COLUMBIA MEDICAL TRANSPORT SERVICE, LLP

Facility Address:
1469 OLD BERWICK ROAD
BLOOMSBURG, PA
ZIP 17815
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Facility Phone Number: 570 389-0618

Facility Type: Ambulance

Certificate Type: Waiver
NPI Number: 1396862967

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 39D2136766
LAB Type Ambulance
Facility Name GREATER COLUMBIA MEDICAL TRANSPORT SERVICE, LLP
Street 1469 OLD BERWICK ROAD
City BLOOMSBURG
State PA
ZIP 17815
Phone 570 389-0618
CertificateType 4
CertificateEffectiveDate 9/15/2023
CertificateExpirationDate 9/14/2025
FacilityType Waiver

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