42D2042280 CLIA NUMBER - MED-TRANS CORPORATION DBA MED TRANS ONE

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Laboratory Demographics

CLIA Number: 42D2042280

Facility Name: MED-TRANS CORPORATION DBA MED TRANS ONE

Facility Address:
9 AD ASBURY DRIVE
GREENVILLE, SC
ZIP 29605
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Facility Phone Number: 864 299-2206

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1841216017

Taxonomy: 3416A0800X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	42D2042280
LAB Type	Ambulance
Facility Name	MED-TRANS CORPORATION DBA MED TRANS ONE
Street	9 AD ASBURY DRIVE
City	GREENVILLE
State	SC
ZIP	29605
Phone	864 299-2206
CertificateType	4
CertificateEffectiveDate	6/8/2022
CertificateExpirationDate	6/7/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024