33D2012898 CLIA NUMBER - CANANDAIGUA EMERGENCY SQUAD INC

Laboratory Demographics

  • CLIA Code: 33D2012898
  • Facility Name: CANANDAIGUA EMERGENCY SQUAD INC
  • Facility Address: 233 N PEARL STREET
    CANANDAIGUA, NY
    ZIP 14424
  • Facility Phone: 585 394-5860
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. SCOTT M. GLICK
  • NPI Number: 1366594889
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 33D2012898
LAB Type Ambulance
Facility Name CANANDAIGUA EMERGENCY SQUAD INC
Street 233 N PEARL STREET
City CANANDAIGUA
State NY
ZIP 14424
Phone 585 394-5860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2010
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