39D2136774 CLIA NUMBER - EPHRATA COMMUNITY AMBULANCE ASSOCIATION

Laboratory Demographics

  • CLIA Code: 39D2136774
  • Facility Name: EPHRATA COMMUNITY AMBULANCE ASSOCIATION
  • Facility Address: 528 WEST MAIN STREET
    EPHRATA, PA
    ZIP 17522
  • Facility Phone: 717 733-2821
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KEVIN E. WOLF
  • NPI Number: 1699802454
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2136774
LAB Type Ambulance
Facility Name EPHRATA COMMUNITY AMBULANCE ASSOCIATION
Street 528 WEST MAIN STREET
City EPHRATA
State PA
ZIP 17522
Phone 717 733-2821
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Ambulance
Lab Director KEVIN E. WOLF

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