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33D1105994 CLIA NUMBER - TOWN OF WATERTOWN AMBULANCE SERVICE INC

Laboratory Demographics

CLIA Number: 33D1105994

Facility Name: TOWN OF WATERTOWN AMBULANCE SERVICE INC

Facility Address:
18791 COUNTY ROUTE 155
WATERTOWN, NY
ZIP 13601
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Facility Phone Number: 315 782-5999

Facility Type: Ambulance

Certificate Type: Waiver
NPI Number: 1699950501

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name Field Value
CLIA Number 33D1105994
LAB Type Ambulance
Facility Name TOWN OF WATERTOWN AMBULANCE SERVICE INC
Street 18791 COUNTY ROUTE 155
City WATERTOWN
State NY
ZIP 13601
Phone 315 782-5999
CertificateType 4
CertificateEffectiveDate 10/2/2009
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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This page was last updated on: 4/23/2024