51D2179291 CLIA NUMBER - BROOKE COUNTY AMBULANCE

Laboratory Demographics

  • CLIA Code: 51D2179291
  • Facility Name: BROOKE COUNTY AMBULANCE
  • Facility Address: 54 MARSHALL STREET
    WELLSBURG, WV
    ZIP 26070
  • Facility Phone: 304 737-7094
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JEFFREY D. LUCK
  • NPI Number: 1336151315
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 51D2179291
LAB Type Ambulance
Facility Name BROOKE COUNTY AMBULANCE
Street 54 MARSHALL STREET
City WELLSBURG
State WV
ZIP 26070
Phone 304 737-7094
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 JEFFREY D. LUCK

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