33D1093780 CLIA NUMBER - POTSDAM VOLUNTEER RESCUE SQUAD INC

Laboratory Demographics

  • CLIA Code: 33D1093780
  • Facility Name: POTSDAM VOLUNTEER RESCUE SQUAD INC
  • Facility Address: 29 ELM STREET
    POTSDAM, NY
    ZIP 13676
  • Facility Phone: 315 265-2550
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. RYAN COATES
  • NPI Number: 1003806563
  • Taxonomy: 341600000X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D1093780
LAB Type Ambulance
Facility Name POTSDAM VOLUNTEER RESCUE SQUAD INC
Street 29 ELM STREET
City POTSDAM
State NY
ZIP 13676
Phone 315 265-2550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2009
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. RYAN COATES

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