07D2150259 CLIA NUMBER - LIME ROCK PARK AMBULANCE

Laboratory Demographics

  • CLIA Code: 07D2150259
  • Facility Name: LIME ROCK PARK AMBULANCE
  • Facility Address: 497 LIME ROCK ROAD
    LAKEVILLE, CT
    ZIP 06039
  • Facility Phone: 860 435-0102
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ZACHARY J. SAWICKI
  • NPI Number: 1265933980
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 07D2150259
LAB Type Ambulance
Facility Name LIME ROCK PARK AMBULANCE
Street 497 LIME ROCK ROAD
City LAKEVILLE
State CT
ZIP 06039
Phone 860 435-0102
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Ambulance
Lab Director ZACHARY J. SAWICKI

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