33D2003631 CLIA NUMBER - BEACON VOLUNTEER AMBULANCE CORPS

Laboratory Demographics

  • CLIA Code: 33D2003631
  • Facility Name: BEACON VOLUNTEER AMBULANCE CORPS
  • Facility Address: 1 ARQUILLA DRIVE
    BEACON, NY
    ZIP 12508
  • Facility Phone: 845 831-4540
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. ISAAC S. BRUCK
  • NPI Number: 1285622647
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2003631
LAB Type Ambulance
Facility Name BEACON VOLUNTEER AMBULANCE CORPS
Street 1 ARQUILLA DRIVE
City BEACON
State NY
ZIP 12508
Phone 845 831-4540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2010
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. ISAAC S. BRUCK

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