51D2178354 CLIA NUMBER - PRINCETON RESCUE SQUAD INC

Laboratory Demographics

  • CLIA Code: 51D2178354
  • Facility Name: PRINCETON RESCUE SQUAD INC
  • Facility Address: 701 STAFFORD DRIVE
    PRINCETON, WV
    ZIP 24740
  • Facility Phone: 304 425-3914
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: RANDALL L. BROWN
  • NPI Number: 1609814607
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 51D2178354
LAB Type Ambulance
Facility Name PRINCETON RESCUE SQUAD INC
Street 701 STAFFORD DRIVE
City PRINCETON
State WV
ZIP 24740
Phone 304 425-3914
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Ambulance
Lab Director RANDALL L. BROWN

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This page was last updated on: 9/29/2025