39D2140643 CLIA NUMBER - SUGARLOAF FIRE COMPANY INC

Laboratory Demographics

  • CLIA Code: 39D2140643
  • Facility Name: SUGARLOAF FIRE COMPANY INC
  • Facility Address: 95 W COUNTY ROAD
    SUGARLOAF, PA
    ZIP 18249
  • Facility Phone: 570 788-2249
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: STEPHEN J. MOTIL III
  • NPI Number: 1609050426
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2140643
LAB Type Ambulance
Facility Name SUGARLOAF FIRE COMPANY INC
Street 95 W COUNTY ROAD
City SUGARLOAF
State PA
ZIP 18249
Phone 570 788-2249
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Ambulance
Lab Director STEPHEN J. MOTIL III

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