49D2214784 CLIA NUMBER - BUCKINGHAM COUNTY DEPT OF EMERGENCY SERVICES

Laboratory Demographics

CLIA Number: 49D2214784

Facility Name: BUCKINGHAM COUNTY DEPT OF EMERGENCY SERVICES

Facility Address:
222 WINGO RD
DILLWYN, VA
ZIP 23936
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Facility Phone Number: 434 969-7734

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1700473105

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	49D2214784
LAB Type	Ambulance
Facility Name	BUCKINGHAM COUNTY DEPT OF EMERGENCY SERVICES
Street	222 WINGO RD
City	DILLWYN
State	VA
ZIP	23936
Phone	434 969-7734
CertificateType	4
CertificateEffectiveDate	2/25/2023
CertificateExpirationDate	2/24/2025
FacilityType	Waiver

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