39D2182266 CLIA NUMBER - WESTERN ALLIANCE EMERGENCY SERVICES, INC

Laboratory Demographics

CLIA Number: 39D2182266

Facility Name: WESTERN ALLIANCE EMERGENCY SERVICES, INC

Facility Address:
129 CANTON STREET
TROY, PA
ZIP 16947
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Facility Phone Number: 570 297-1235

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1265566913

Taxonomy: 3416L0300X - Ambulance

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
CertificateType	4
CertificateEffectiveDate	4/19/2024
CertificateExpirationDate	4/18/2026
FacilityType	Waiver

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