51D0987877 CLIA NUMBER - BARBOUR COUNTY EMERGENCY SQUAD INC

Laboratory Demographics

CLIA Number: 51D0987877

Facility Name: BARBOUR COUNTY EMERGENCY SQUAD INC

Facility Address:
RT 250 SOUTH
PHILIPPI, WV
ZIP 26416
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Facility Phone Number: 304 457-2037

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1578636387

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	51D0987877
LAB Type	Ambulance
Facility Name	BARBOUR COUNTY EMERGENCY SQUAD INC
Street	RT 250 SOUTH
City	PHILIPPI
State	WV
ZIP	26416
Phone	304 457-2037
CertificateType	4
CertificateEffectiveDate	6/15/2023
CertificateExpirationDate	6/14/2025
FacilityType	Waiver

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