39D2139148 CLIA NUMBER - BLAIN FIRE COMPANY AMBULANCE

Laboratory Demographics

  • CLIA Code: 39D2139148
  • Facility Name: BLAIN FIRE COMPANY AMBULANCE
  • Facility Address: 4 E MAIN ST
    BLAIN, PA
    ZIP 17006
  • Facility Phone: 717 536-3131
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DONALD L. SMITH
  • NPI Number: 1861545360
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2139148
LAB Type Ambulance
Facility Name BLAIN FIRE COMPANY AMBULANCE
Street 4 E MAIN ST
City BLAIN
State PA
ZIP 17006
Phone 717 536-3131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Ambulance
Lab Director DONALD L. SMITH

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