51D2181333 CLIA NUMBER - PRICHARD VOLUNTEER FIRE DEPT

Laboratory Demographics

  • CLIA Code: 51D2181333
  • Facility Name: PRICHARD VOLUNTEER FIRE DEPT
  • Facility Address: 1255 ROUND BOTTOM RD
    PRICHARD, WV
    ZIP 25555
  • Facility Phone: 304 486-5051
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MATTHEW KHOLER
  • NPI Number: 1659370138
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 51D2181333
LAB Type Ambulance
Facility Name PRICHARD VOLUNTEER FIRE DEPT
Street 1255 ROUND BOTTOM RD
City PRICHARD
State WV
ZIP 25555
Phone 304 486-5051
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Ambulance
Lab Director MATTHEW KHOLER

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