33D2015732 CLIA NUMBER - SOUTH JEFFERSON RESCUE SQUAD INC

Laboratory Demographics

  • CLIA Code: 33D2015732
  • Facility Name: SOUTH JEFFERSON RESCUE SQUAD INC
  • Facility Address: 38 MAIN STREET
    ADAMS, NY
    ZIP 13605
  • Facility Phone: (315) 232-2624
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. JAMES WILLIS
  • NPI Number: 1952378697
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2015732
LAB Type Ambulance
Facility Name SOUTH JEFFERSON RESCUE SQUAD INC
Street 38 MAIN STREET
City ADAMS
State NY
ZIP 13605
Phone 3152322624
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2010
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. JAMES WILLIS

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This page was last updated on: 5/18/2026