51D2179260 CLIA NUMBER - DALLAS VOL FIRE DEPT

Laboratory Demographics

  • CLIA Code: 51D2179260
  • Facility Name: DALLAS VOL FIRE DEPT
  • Facility Address: 7024 DALLAS PIKE RD
    DALLAS, WV
    ZIP 26036
  • Facility Phone: 304 547-4999
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: PHILIP S. ULLOM
  • NPI Number: 1972609592
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 51D2179260
LAB Type Ambulance
Facility Name DALLAS VOL FIRE DEPT
Street 7024 DALLAS PIKE RD
City DALLAS
State WV
ZIP 26036
Phone 304 547-4999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Ambulance
Lab Director PHILIP S. ULLOM

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