33D2014341 CLIA NUMBER - PINE BUSH AREA VOLUNTEER AMBULANCE CORPS

Laboratory Demographics

  • CLIA Code: 33D2014341
  • Facility Name: PINE BUSH AREA VOLUNTEER AMBULANCE CORPS
  • Facility Address: 131 CENTER STREET
    PINE BUSH, NY
    ZIP 12566
  • Facility Phone: 845 744-5391
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. NICKI MAXWELL
  • NPI Number: 1487671095
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2014341
LAB Type Ambulance
Facility Name PINE BUSH AREA VOLUNTEER AMBULANCE CORPS
Street 131 CENTER STREET
City PINE BUSH
State NY
ZIP 12566
Phone 845 744-5391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2010
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. NICKI MAXWELL

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