39D2257416 CLIA NUMBER - LEHMAN PIKE EMS

Laboratory Demographics

CLIA Number: 39D2257416

Facility Name: LEHMAN PIKE EMS

Facility Address:
193 MUNICIPAL DR
BUSHKILL, PA
ZIP 18324
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Facility Phone Number: 570 588-9365

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1659020659

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name Field Value
CLIA Number 39D2257416
LAB Type Ambulance
Facility Name LEHMAN PIKE EMS
Street 193 MUNICIPAL DR
City BUSHKILL
State PA
ZIP 18324
Phone 570 588-9365
CertificateType 4
CertificateEffectiveDate 4/5/2024
CertificateExpirationDate 4/4/2026
FacilityType Waiver

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