39D2322523 CLIA NUMBER - WOODLYN FIRE COMPANY

Laboratory Demographics

  • CLIA Code: 39D2322523
  • Facility Name: WOODLYN FIRE COMPANY
  • Facility Address: 228 FAIRVIEW RD
    WOODLYN, PA
    ZIP 19094
  • Facility Phone: 610 833-5338
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHAEL POLTROCK
  • NPI Number: 1669473906
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2322523
LAB Type Ambulance
Facility Name WOODLYN FIRE COMPANY
Street 228 FAIRVIEW RD
City WOODLYN
State PA
ZIP 19094
Phone 610 833-5338
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Ambulance
Lab Director MICHAEL POLTROCK

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