33D1106170 CLIA NUMBER - PHELPS AMBULANCE INC

Laboratory Demographics

  • CLIA Code: 33D1106170
  • Facility Name: PHELPS AMBULANCE INC
  • Facility Address: 79 ONTARIO STREET
    PHELPS, NY
    ZIP 14532
  • Facility Phone: 315 548-3862
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. SCOTT M. GLICK
  • NPI Number: 1013975994
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D1106170
LAB Type Ambulance
Facility Name PHELPS AMBULANCE INC
Street 79 ONTARIO STREET
City PHELPS
State NY
ZIP 14532
Phone 315 548-3862
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2009
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. SCOTT M. GLICK

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