51D2179734 CLIA NUMBER - COUNTY OF JEFFERSON DBA JEFFERSON CO EMERGENCY SERVICES AGENCY

Laboratory Demographics

  • CLIA Code: 51D2179734
  • Facility Name: COUNTY OF JEFFERSON DBA JEFFERSON CO EMERGENCY SERVICES AGENCY
  • Facility Address: 419 16TH AVE
    RANSON, WV
    ZIP 25438
  • Facility Phone: 304 728-3287
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: THEODORE M. SINE
  • NPI Number: 1144504630
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 51D2179734
LAB Type Ambulance
Facility Name COUNTY OF JEFFERSON DBA JEFFERSON CO EMERGENCY SERVICES AGENCY
Street 419 16TH AVE
City RANSON
State WV
ZIP 25438
Phone 304 728-3287
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Ambulance
Lab Director THEODORE M. SINE

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