39D2149472 CLIA NUMBER - ALPHA FIRE COMPANY, NO 1

Laboratory Demographics

  • CLIA Code: 39D2149472
  • Facility Name: ALPHA FIRE COMPANY, NO 1
  • Facility Address: 5304 BALTIMORE PIKE
    LITTLESTOWN, PA
    ZIP 17340
  • Facility Phone: 717 359-4212
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. TIFFANI RUSS
  • NPI Number: 1023013265
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2149472
LAB Type Ambulance
Facility Name ALPHA FIRE COMPANY, NO 1
Street 5304 BALTIMORE PIKE
City LITTLESTOWN
State PA
ZIP 17340
Phone 717 359-4212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Ambulance
Lab Director DR. TIFFANI RUSS

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