39D2142244 CLIA NUMBER - DUSHORE FIRE CO NO 1

Laboratory Demographics

  • CLIA Code: 39D2142244
  • Facility Name: DUSHORE FIRE CO NO 1
  • Facility Address: 212 JULIA STREET
    DUSHORE, PA
    ZIP 18614
  • Facility Phone: 570 928-8222
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. GREGORY FRAILEY
  • NPI Number: 1922023605
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2142244
LAB Type Ambulance
Facility Name DUSHORE FIRE CO NO 1
Street 212 JULIA STREET
City DUSHORE
State PA
ZIP 18614
Phone 570 928-8222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Ambulance
Lab Director DR. GREGORY FRAILEY

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