51D1004393 CLIA NUMBER - SALEM VOLUNTEER FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 51D1004393

Facility Name: SALEM VOLUNTEER FIRE DEPARTMENT

Facility Address:
MILL AND VALLEY STREET
SALEM, WV
ZIP 26426
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Facility Phone Number: 304 782-3333

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1720128168

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	51D1004393
LAB Type	Federally Qualified Health Center
Facility Name	SALEM VOLUNTEER FIRE DEPARTMENT
Street	MILL AND VALLEY STREET
City	SALEM
State	WV
ZIP	26426
Phone	304 782-3333
CertificateType	4
CertificateEffectiveDate	9/25/2022
CertificateExpirationDate	9/24/2024
FacilityType	Waiver

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