47D2005264 CLIA NUMBER - WILLISTON FIRE DEPARTMENT

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Laboratory Demographics

CLIA Number: 47D2005264

Facility Name: WILLISTON FIRE DEPARTMENT

Facility Address:
645 TALCOTT RD
WILLISTON, VT
ZIP 05495
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Facility Phone Number: 802 878-5622

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1760793541

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	47D2005264
LAB Type	Ambulance
Facility Name	WILLISTON FIRE DEPARTMENT
Street	645 TALCOTT RD
City	WILLISTON
State	VT
ZIP	05495
Phone	802 878-5622
CertificateType	4
CertificateEffectiveDate	3/24/2024
CertificateExpirationDate	3/23/2026
FacilityType	Waiver

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