39D2138697 CLIA NUMBER - DOVER AREA AMBULANCE

Laboratory Demographics

CLIA Number: 39D2138697

Facility Name: DOVER AREA AMBULANCE

Facility Address:
40 EAST CANAL STREET
DOVER, PA
ZIP 17315
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Facility Phone Number: 717 292-9776

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1316104623

Taxonomy: 251300000X - Local Education Agency (LEA)
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

CLIA Record

Field Name Field Value
CLIA Number 39D2138697
LAB Type Ambulance
Facility Name DOVER AREA AMBULANCE
Street 40 EAST CANAL STREET
City DOVER
State PA
ZIP 17315
Phone 717 292-9776
CertificateType 4
CertificateEffectiveDate 10/24/2023
CertificateExpirationDate 10/23/2025
FacilityType Waiver

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