39D2321107 CLIA NUMBER - TRI TOWN AMBULANCE ASSOC INC

Laboratory Demographics

  • CLIA Code: 39D2321107
  • Facility Name: TRI TOWN AMBULANCE ASSOC INC
  • Facility Address: 810 ST RT 49 W
    ULYSSES, PA
    ZIP 16948
  • Facility Phone: 814 848-9905
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KRYSTLE D. MUSSER
  • NPI Number: 1881936664
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2321107
LAB Type Ambulance
Facility Name TRI TOWN AMBULANCE ASSOC INC
Street 810 ST RT 49 W
City ULYSSES
State PA
ZIP 16948
Phone 814 848-9905
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Ambulance
Lab Director KRYSTLE D. MUSSER

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