33D1019536 CLIA NUMBER - MOREAU EMERGENCY SQUAD INC

Laboratory Demographics

  • CLIA Code: 33D1019536
  • Facility Name: MOREAU EMERGENCY SQUAD INC
  • Facility Address: 1583 RTE 9
    FORT EDWARD, NY
    ZIP 12828
  • Facility Phone: 518 793-3011
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER J. CASE
  • NPI Number: 1437166626
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D1019536
LAB Type Ambulance
Facility Name MOREAU EMERGENCY SQUAD INC
Street 1583 RTE 9
City FORT EDWARD
State NY
ZIP 12828
Phone 518 793-3011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2003
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. CHRISTOPHER J. CASE

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