39D2140226 CLIA NUMBER - RESCUE HOSE COMPANY #1, OF GREENCASTLE PA

Laboratory Demographics

CLIA Number: 39D2140226

Facility Name: RESCUE HOSE COMPANY #1, OF GREENCASTLE PA

Facility Address:
842 SOUTH WASHINGTON STREET
GREENCASTLE, PA
ZIP 17225
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Facility Phone Number: 717 597-8489

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1649271529

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	39D2140226
LAB Type	Ambulance
Facility Name	RESCUE HOSE COMPANY #1, OF GREENCASTLE PA
Street	842 SOUTH WASHINGTON STREET
City	GREENCASTLE
State	PA
ZIP	17225
Phone	717 597-8489
CertificateType	4
CertificateEffectiveDate	11/16/2023
CertificateExpirationDate	11/15/2025
FacilityType	Waiver

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