33D1098145 CLIA NUMBER - OLD ERIE EMERGENCY SERVICES INC DBA JORDAN AMBULANCE

Laboratory Demographics

  • CLIA Code: 33D1098145
  • Facility Name: OLD ERIE EMERGENCY SERVICES INC DBA JORDAN AMBULANCE
  • Facility Address: 1 N HAMILTON STREET
    JORDAN, NY
    ZIP 13080
  • Facility Phone: 315 689-3923
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL R. JOROLEMON
  • NPI Number: 1205103645
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D1098145
LAB Type Ambulance
Facility Name OLD ERIE EMERGENCY SERVICES INC DBA JORDAN AMBULANCE
Street 1 N HAMILTON STREET
City JORDAN
State NY
ZIP 13080
Phone 315 689-3923
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2017
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. MICHAEL R. JOROLEMON

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This page was last updated on: 6/4/2025