51D2178648 CLIA NUMBER - GRANT TOWN EMERGENCY MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 51D2178648
  • Facility Name: GRANT TOWN EMERGENCY MEDICAL SERVICES
  • Facility Address: 110 BALLAH AVE
    GRANT TOWN, WV
    ZIP 26574
  • Facility Phone: 304 278-7777
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ALLEN E. MYERS JR
  • NPI Number: 1992040398
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 51D2178648
LAB Type Ambulance
Facility Name GRANT TOWN EMERGENCY MEDICAL SERVICES
Street 110 BALLAH AVE
City GRANT TOWN
State WV
ZIP 26574
Phone 304 278-7777
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 ALLEN E. MYERS JR

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