51D2178876 CLIA NUMBER - BRUCETON COMMUNITY AMBULANCE SERVICE, INC

Laboratory Demographics

  • CLIA Code: 51D2178876
  • Facility Name: BRUCETON COMMUNITY AMBULANCE SERVICE, INC
  • Facility Address: 110 UNION STREET
    BRUCETON MILLS, WV
    ZIP 26525
  • Facility Phone: 304 379-3792
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DAVID M. ANDERSON
  • NPI Number: 1215385935
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D2178876
LAB Type Ambulance
Facility Name BRUCETON COMMUNITY AMBULANCE SERVICE, INC
Street 110 UNION STREET
City BRUCETON MILLS
State WV
ZIP 26525
Phone 304 379-3792
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type Ambulance
Lab Director DAVID M. ANDERSON

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