39D2137171 CLIA NUMBER - BALLY COMMUNITY AMBULANCE ASSOCIATION

Laboratory Demographics

  • CLIA Code: 39D2137171
  • Facility Name: BALLY COMMUNITY AMBULANCE ASSOCIATION
  • Facility Address: 537 CHESTNUT STREET
    BALLY, PA
    ZIP 19503
  • Facility Phone: 610 845-8593
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY M. KUKLINSKI
  • NPI Number: 1275663163
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2137171
LAB Type Ambulance
Facility Name BALLY COMMUNITY AMBULANCE ASSOCIATION
Street 537 CHESTNUT STREET
City BALLY
State PA
ZIP 19503
Phone 610 845-8593
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Ambulance
Lab Director DR. JEFFREY M. KUKLINSKI

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