33D1046991 CLIA NUMBER - MALTA AMBULANCE CORP

Laboratory Demographics

  • CLIA Code: 33D1046991
  • Facility Name: MALTA AMBULANCE CORP
  • Facility Address: 2449 ROUTE 9
    MALTA, NY
    ZIP 12020
  • Facility Phone: 518 899-2100
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. TODD D. DUTHALER
  • NPI Number: 1467411827
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D1046991
LAB Type Ambulance
Facility Name MALTA AMBULANCE CORP
Street 2449 ROUTE 9
City MALTA
State NY
ZIP 12020
Phone 518 899-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2005
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. TODD D. DUTHALER

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