47D1093728 CLIA NUMBER - NEWPORT AMBULANCE SERVICE INC

Laboratory Demographics

CLIA Number: 47D1093728

Facility Name: NEWPORT AMBULANCE SERVICE INC

Facility Address:
830 UNION STREET
NEWPORT, VT
ZIP 05855
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Facility Phone Number: 802 334-2023

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1841233111

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	47D1093728
LAB Type	Ambulance
Facility Name	NEWPORT AMBULANCE SERVICE INC
Street	830 UNION STREET
City	NEWPORT
State	VT
ZIP	05855
Phone	802 334-2023
CertificateType	4
CertificateEffectiveDate	12/30/2022
CertificateExpirationDate	12/29/2024
FacilityType	Waiver

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