49D1086577 CLIA NUMBER - MADISON COUNTY EMERGENCY MEDICAL SERVICES

Laboratory Demographics

CLIA Number: 49D1086577

Facility Name: MADISON COUNTY EMERGENCY MEDICAL SERVICES

Facility Address:
1449 N MAIN STREET
MADISON, VA
ZIP 22727
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Facility Phone Number: 540 948-4813

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1588995062

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	49D1086577
LAB Type	Ambulance
Facility Name	MADISON COUNTY EMERGENCY MEDICAL SERVICES
Street	1449 N MAIN STREET
City	MADISON
State	VA
ZIP	22727
Phone	540 948-4813
CertificateType	4
CertificateEffectiveDate	7/15/2022
CertificateExpirationDate	7/14/2024
FacilityType	Waiver

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