33D1006575 CLIA NUMBER - BALLSTON LAKE EMERGENCY SQUAD

Laboratory Demographics

  • CLIA Code: 33D1006575
  • Facility Name: BALLSTON LAKE EMERGENCY SQUAD
  • Facility Address: 1123 RTE 146A
    BALLSTON LAKE, NY
    ZIP 12019
  • Facility Phone: 518 399-7066
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM T. FISHER
  • NPI Number: 1821074840
  • Taxonomy: 341600000X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D1006575
LAB Type Ambulance
Facility Name BALLSTON LAKE EMERGENCY SQUAD
Street 1123 RTE 146A
City BALLSTON LAKE
State NY
ZIP 12019
Phone 518 399-7066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2009
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. WILLIAM T. FISHER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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