51D0979832 CLIA NUMBER - ELK DISTRICT VOLUNTEER AMBULANCE SVCS

Laboratory Demographics

CLIA Number: 51D0979832

Facility Name: ELK DISTRICT VOLUNTEER AMBULANCE SVCS

Facility Address:
MAPLE STREET
ELK GARDEN, WV
ZIP 26717
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Facility Phone Number: 304 446-5752

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1952301764

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	51D0979832
LAB Type	Ambulance
Facility Name	ELK DISTRICT VOLUNTEER AMBULANCE SVCS
Street	MAPLE STREET
City	ELK GARDEN
State	WV
ZIP	26717
Phone	304 446-5752
CertificateType	4
CertificateEffectiveDate	11/1/2022
CertificateExpirationDate	10/31/2024
FacilityType	Waiver

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