39D2137319 CLIA NUMBER - YELLOW BREECHES EMS, INC

Laboratory Demographics

CLIA Number: 39D2137319

Facility Name: YELLOW BREECHES EMS, INC

Facility Address:
233 MILL STREET
MT HOLLY SPRINGS, PA
ZIP 17065
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Facility Phone Number: 717 486-3833

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1275693814

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	39D2137319
LAB Type	Ambulance
Facility Name	YELLOW BREECHES EMS, INC
Street	233 MILL STREET
City	MT HOLLY SPRINGS
State	PA
ZIP	17065
Phone	717 486-3833
CertificateType	4
CertificateEffectiveDate	9/25/2023
CertificateExpirationDate	9/24/2025
FacilityType	Waiver

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