39D2182266 CLIA NUMBER - WESTERN ALLIANCE EMERGENCY SERVICES, INC

Laboratory Demographics

  • CLIA Code: 39D2182266
  • Facility Name: WESTERN ALLIANCE EMERGENCY SERVICES, INC
  • Facility Address: 129 CANTON STREET
    TROY, PA
    ZIP 16947
  • Facility Phone: 570 297-1235
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: RODNEY DECKER
  • NPI Number: 1265566913
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2182266
LAB Type Ambulance
Facility Name WESTERN ALLIANCE EMERGENCY SERVICES, INC
Street 129 CANTON STREET
City TROY
State PA
ZIP 16947
Phone 570 297-1235
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Ambulance
Lab Director RODNEY DECKER

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This page was last updated on: 6/4/2025