39D2312283 CLIA NUMBER - LARKSVILLE COMMUNITY AMBULANCE

Laboratory Demographics

  • CLIA Code: 39D2312283
  • Facility Name: LARKSVILLE COMMUNITY AMBULANCE
  • Facility Address: 480 EAST STATE ST
    LARKSVILLE, PA
    ZIP 18651
  • Facility Phone: 570 779-4778
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SUSAN STEVENSON
  • NPI Number: 1669468732
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2312283
LAB Type Ambulance
Facility Name LARKSVILLE COMMUNITY AMBULANCE
Street 480 EAST STATE ST
City LARKSVILLE
State PA
ZIP 18651
Phone 570 779-4778
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Ambulance
Lab Director SUSAN STEVENSON

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