39D2300748 CLIA NUMBER - SUSQUEHANNA FIRE DEPT INC

Laboratory Demographics

  • CLIA Code: 39D2300748
  • Facility Name: SUSQUEHANNA FIRE DEPT INC
  • Facility Address: 43 ERIE BLVD
    SUSQUEHANNA, PA
    ZIP 18847
  • Facility Phone: 570 853-3197
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: PRAVINCHANDRA PATEL
  • NPI Number: 1902814825
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2300748
LAB Type Ambulance
Facility Name SUSQUEHANNA FIRE DEPT INC
Street 43 ERIE BLVD
City SUSQUEHANNA
State PA
ZIP 18847
Phone 570 853-3197
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Ambulance
Lab Director PRAVINCHANDRA PATEL

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