33D2054369 CLIA NUMBER - PLEASANT VALLEY FIRE DISTRICT RESCUE SQUAD

Laboratory Demographics

  • CLIA Code: 33D2054369
  • Facility Name: PLEASANT VALLEY FIRE DISTRICT RESCUE SQUAD
  • Facility Address: 1619 MAIN STREET
    PLEASANT VALLEY, NY
    ZIP 12569
  • Facility Phone: 845 635-9350
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. MARK A. PAPISH
  • NPI Number: 1093273500
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2054369
LAB Type Ambulance
Facility Name PLEASANT VALLEY FIRE DISTRICT RESCUE SQUAD
Street 1619 MAIN STREET
City PLEASANT VALLEY
State NY
ZIP 12569
Phone 845 635-9350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2017
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. MARK A. PAPISH

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