39D2138390 CLIA NUMBER - GORDONVILLE FIRE COMPANY DBA PEQUEA VALLEY FIRE DEPT

Laboratory Demographics

  • CLIA Code: 39D2138390
  • Facility Name: GORDONVILLE FIRE COMPANY DBA PEQUEA VALLEY FIRE DEPT
  • Facility Address: 3204 VIGILANT STREET
    GORDONVILLE, PA
    ZIP 17529
  • Facility Phone: 717 768-3869
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: NISSA STOLTZFUS
  • NPI Number: 1598058513
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2138390
LAB Type Ambulance
Facility Name GORDONVILLE FIRE COMPANY DBA PEQUEA VALLEY FIRE DEPT
Street 3204 VIGILANT STREET
City GORDONVILLE
State PA
ZIP 17529
Phone 717 768-3869
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2023
Certificate Expiration Date 10/16/2025
Facility Type Ambulance
Lab Director NISSA STOLTZFUS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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