33D2021496 CLIA NUMBER - WALDEN AMBULANCE CORP DBA TOWN OF MONTGOMERY AMBULANCE

Laboratory Demographics

  • CLIA Code: 33D2021496
  • Facility Name: WALDEN AMBULANCE CORP DBA TOWN OF MONTGOMERY AMBULANCE
  • Facility Address: 22 S MONTGOMERY STREET
    WALDEN, NY
    ZIP 12586
  • Facility Phone: (845) 713-4788
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL A. WOLF
  • NPI Number: 1558595512
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2021496
LAB Type Ambulance
Facility Name WALDEN AMBULANCE CORP DBA TOWN OF MONTGOMERY AMBULANCE
Street 22 S MONTGOMERY STREET
City WALDEN
State NY
ZIP 12586
Phone 8457134788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2011
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. DANIEL A. WOLF

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