39D2275827 CLIA NUMBER - FWM EMERGENCY SQUAD INC

Laboratory Demographics

  • CLIA Code: 39D2275827
  • Facility Name: FWM EMERGENCY SQUAD INC
  • Facility Address: 236 SCHOOLHOUSE HILL RD
    MEHOOPANY, PA
    ZIP 18629
  • Facility Phone: 570 833-2092
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ESSIE R. SCHRADER
  • NPI Number: 1154330116
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2275827
LAB Type Ambulance
Facility Name FWM EMERGENCY SQUAD INC
Street 236 SCHOOLHOUSE HILL RD
City MEHOOPANY
State PA
ZIP 18629
Phone 570 833-2092
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Ambulance
Lab Director ESSIE R. SCHRADER

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