39D2273630 CLIA NUMBER - MOUNT UNION AMBULANCE

Laboratory Demographics

  • CLIA Code: 39D2273630
  • Facility Name: MOUNT UNION AMBULANCE
  • Facility Address: 15 EAST MARKET STREET
    MOUNT UNION, PA
    ZIP 17066
  • Facility Phone: 814 542-9888
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MATTHEW E. HAUCK
  • NPI Number: 1558533562
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2273630
LAB Type Ambulance
Facility Name MOUNT UNION AMBULANCE
Street 15 EAST MARKET STREET
City MOUNT UNION
State PA
ZIP 17066
Phone 814 542-9888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Ambulance
Lab Director MATTHEW E. HAUCK

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