33D1025796 CLIA NUMBER - CHATHAM RESCUE SQUAD INC

Laboratory Demographics

  • CLIA Code: 33D1025796
  • Facility Name: CHATHAM RESCUE SQUAD INC
  • Facility Address: 11 MOORE AVE
    CHATHAM, NY
    ZIP 12037
  • Facility Phone: (518) 336-0217
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. PETER E. GORDON
  • NPI Number: 1609859883
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D1025796
LAB Type Federally Qualified Health Center
Facility Name CHATHAM RESCUE SQUAD INC
Street 11 MOORE AVE
City CHATHAM
State NY
ZIP 12037
Phone 5183360217
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2004
Certificate Expiration Date 3/26/2027
Facility Type Federally Qualified Health Center
Lab Director DR. PETER E. GORDON

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This page was last updated on: 5/18/2026