39D2245271 CLIA NUMBER - WATTSBURG HOSE COMPANY

Laboratory Demographics

CLIA Number: 39D2245271

Facility Name: WATTSBURG HOSE COMPANY

Facility Address:
14415 MAIN STREET
WATTSBURG, PA
ZIP 16442
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Facility Phone Number: 814 739-9411

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1992779094

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	39D2245271
LAB Type	Ambulance
Facility Name	WATTSBURG HOSE COMPANY
Street	14415 MAIN STREET
City	WATTSBURG
State	PA
ZIP	16442
Phone	814 739-9411
CertificateType	4
CertificateEffectiveDate	12/10/2023
CertificateExpirationDate	12/9/2025
FacilityType	Waiver

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