51D0988633 CLIA NUMBER - SHORT GAP VOLUNTEER FIRE COMPANY

Laboratory Demographics

  • CLIA Code: 51D0988633
  • Facility Name: SHORT GAP VOLUNTEER FIRE COMPANY
  • Facility Address: 128 KNOBLEY ROAD
    RIDGELEY, WV
    ZIP 26753
  • Facility Phone: 304 726-4388
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LAUREN P. TRENTER
  • NPI Number: 1881693166
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 51D0988633
LAB Type Ambulance
Facility Name SHORT GAP VOLUNTEER FIRE COMPANY
Street 128 KNOBLEY ROAD
City RIDGELEY
State WV
ZIP 26753
Phone 304 726-4388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Ambulance
Lab Director LAUREN P. TRENTER

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This page was last updated on: 3/20/2025