39D2289398 CLIA NUMBER - JESSUP HOSE CO NO 2 AMBULANCE ASSOCIATION

Laboratory Demographics

  • CLIA Code: 39D2289398
  • Facility Name: JESSUP HOSE CO NO 2 AMBULANCE ASSOCIATION
  • Facility Address: 333 HILL STREET
    JESSUP, PA
    ZIP 18434
  • Facility Phone: 570 489-1141
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KIRK S. HINKLEY
  • NPI Number: 1477612364
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2289398
LAB Type Ambulance
Facility Name JESSUP HOSE CO NO 2 AMBULANCE ASSOCIATION
Street 333 HILL STREET
City JESSUP
State PA
ZIP 18434
Phone 570 489-1141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Ambulance
Lab Director KIRK S. HINKLEY

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