33D1091579 CLIA NUMBER - CANTON RESCUE SQUAD INC

Laboratory Demographics

  • CLIA Code: 33D1091579
  • Facility Name: CANTON RESCUE SQUAD INC
  • Facility Address: 77 RIVERSIDE DRIVE
    CANTON, NY
    ZIP 13617
  • Facility Phone: 315 386-4613
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. GREGORY J. HEALEY
  • NPI Number: 1336122514
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D1091579
LAB Type Ambulance
Facility Name CANTON RESCUE SQUAD INC
Street 77 RIVERSIDE DRIVE
City CANTON
State NY
ZIP 13617
Phone 315 386-4613
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2008
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. GREGORY J. HEALEY

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