51D2054050 CLIA NUMBER - HEALTHNET AEROMEDICAL SERVICES HEALTHNET INC

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Laboratory Demographics

CLIA Number: 51D2054050

Facility Name: HEALTHNET AEROMEDICAL SERVICES HEALTHNET INC

Facility Address:
110 WYOMING STREET SUITE 101
CHARLESTON, WV
ZIP 25302
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Facility Phone Number: 304 340-8000

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1902179500

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	51D2054050
LAB Type	Ambulance
Facility Name	HEALTHNET AEROMEDICAL SERVICES HEALTHNET INC
Street	110 WYOMING STREET SUITE 101
City	CHARLESTON
State	WV
ZIP	25302
Phone	304 340-8000
CertificateType	4
CertificateEffectiveDate	2/13/2023
CertificateExpirationDate	2/12/2025
FacilityType	Waiver

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