39D2320716 CLIA NUMBER - MOUNTAINTOP AREA AMBULANCE ASSOC

Laboratory Demographics

  • CLIA Code: 39D2320716
  • Facility Name: MOUNTAINTOP AREA AMBULANCE ASSOC
  • Facility Address: 8 WOODLAWN AVE
    MOUNTAIN TOP, PA
    ZIP 18707
  • Facility Phone: 570 474-6096
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TODD C. DANIELLO
  • NPI Number: 1285222703
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2320716
LAB Type Ambulance
Facility Name MOUNTAINTOP AREA AMBULANCE ASSOC
Street 8 WOODLAWN AVE
City MOUNTAIN TOP
State PA
ZIP 18707
Phone 570 474-6096
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Ambulance
Lab Director TODD C. DANIELLO

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