51D2178636 CLIA NUMBER - ROWLESBURG VOLUNTEER AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 51D2178636
  • Facility Name: ROWLESBURG VOLUNTEER AMBULANCE SERVICE
  • Facility Address: 17 CHESSIE LANE
    ROWLESBURG, WV
    ZIP 26425
  • Facility Phone: 304 454-2080
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SCOTT A. MAXWELL
  • NPI Number: 1356496517
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 51D2178636
LAB Type Ambulance
Facility Name ROWLESBURG VOLUNTEER AMBULANCE SERVICE
Street 17 CHESSIE LANE
City ROWLESBURG
State WV
ZIP 26425
Phone 304 454-2080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Ambulance
Lab Director SCOTT A. MAXWELL

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This page was last updated on: 6/4/2025