39D2190559 CLIA NUMBER - SWEET VALLEY AMBULANCE ASSOCIATION

Laboratory Demographics

  • CLIA Code: 39D2190559
  • Facility Name: SWEET VALLEY AMBULANCE ASSOCIATION
  • Facility Address: 5399 MAIN ROAD
    SWEET VALLEY, PA
    ZIP 18656
  • Facility Phone: 570 477-5500
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JOHN OLEY
  • NPI Number: 1720108616
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2190559
LAB Type Ambulance
Facility Name SWEET VALLEY AMBULANCE ASSOCIATION
Street 5399 MAIN ROAD
City SWEET VALLEY
State PA
ZIP 18656
Phone 570 477-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Ambulance
Lab Director JOHN OLEY

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