39D2150777 CLIA NUMBER - PLEASANT MOUNT EMERGENCY SERVICES

Laboratory Demographics

  • CLIA Code: 39D2150777
  • Facility Name: PLEASANT MOUNT EMERGENCY SERVICES
  • Facility Address: 161 GREAT BEND TPKE
    PLEASANT MOUNT, PA
    ZIP 18453
  • Facility Phone: 570 448-9172
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: WILLIAM R. DEWAR
  • NPI Number: 1790730711
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2150777
LAB Type Ambulance
Facility Name PLEASANT MOUNT EMERGENCY SERVICES
Street 161 GREAT BEND TPKE
City PLEASANT MOUNT
State PA
ZIP 18453
Phone 570 448-9172
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Ambulance
Lab Director WILLIAM R. DEWAR

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This page was last updated on: 3/20/2025