39D2149682 CLIA NUMBER - CENTRAL MEDICAL AMBULANCE

Laboratory Demographics

CLIA Number: 39D2149682

Facility Name: CENTRAL MEDICAL AMBULANCE

Facility Address:
201 E PENN AVE
CLEONA, PA
ZIP 17042
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Facility Phone Number: 717 270-1070

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1861497893

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name Field Value
CLIA Number 39D2149682
LAB Type Ambulance
Facility Name CENTRAL MEDICAL AMBULANCE
Street 201 E PENN AVE
City CLEONA
State PA
ZIP 17042
Phone 717 270-1070
CertificateType 4
CertificateEffectiveDate 6/8/2022
CertificateExpirationDate 6/7/2024
FacilityType Waiver

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