39D2138102 CLIA NUMBER - LOWER KISKI AMBULANCE SERVICE, INC

Laboratory Demographics

CLIA Number: 39D2138102

Facility Name: LOWER KISKI AMBULANCE SERVICE, INC

Facility Address:
80 KISKI AVE
LEECHBURG, PA
ZIP 15656
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Facility Phone Number: 724 845-8504

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1811066186

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	39D2138102
LAB Type	Ambulance
Facility Name	LOWER KISKI AMBULANCE SERVICE, INC
Street	80 KISKI AVE
City	LEECHBURG
State	PA
ZIP	15656
Phone	724 845-8504
CertificateType	4
CertificateEffectiveDate	10/10/2023
CertificateExpirationDate	10/9/2025
FacilityType	Waiver

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