33D0964441 CLIA NUMBER - GREENPORT RESCUE SQUAD INC

Laboratory Demographics

  • CLIA Code: 33D0964441
  • Facility Name: GREENPORT RESCUE SQUAD INC
  • Facility Address: 3 NEWMAN RD
    HUDSON, NY
    ZIP 12534
  • Facility Phone: 518 822-6511
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. YURI A. STIPPA
  • NPI Number: 1851467971
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D0964441
LAB Type Rural Health Clinic
Facility Name GREENPORT RESCUE SQUAD INC
Street 3 NEWMAN RD
City HUDSON
State NY
ZIP 12534
Phone 518 822-6511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2006
Certificate Expiration Date 3/26/2027
Facility Type Rural Health Clinic
Lab Director DR. YURI A. STIPPA

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