42D2095304 CLIA NUMBER - KEOWEE FIRE DISTRICT

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Laboratory Demographics

CLIA Number: 42D2095304

Facility Name: KEOWEE FIRE DISTRICT

Facility Address:
115 MAINTENANCE RD
SALEM, SC
ZIP 29676
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Facility Phone Number: 864 944-8666

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1790131704

Taxonomy: 146N00000X - Emergency Medical Technician, Basic
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

CLIA Record

Field Name	Field Value
CLIA Number	42D2095304
LAB Type	Ambulance
Facility Name	KEOWEE FIRE DISTRICT
Street	115 MAINTENANCE RD
City	SALEM
State	SC
ZIP	29676
Phone	864 944-8666
CertificateType	4
CertificateEffectiveDate	5/5/2023
CertificateExpirationDate	5/4/2025
FacilityType	Waiver

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