33D2059328 CLIA NUMBER - LEWISBORO VOLUNTEER AMBULANCE CORPS INC

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Laboratory Demographics

CLIA Number: 33D2059328

Facility Name: LEWISBORO VOLUNTEER AMBULANCE CORPS INC

Facility Address:
777 RTE 35
CROSS RIVER, NY
ZIP 10518
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Facility Phone Number: 914 763-3574

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1760895379

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	33D2059328
LAB Type	Ambulance
Facility Name	LEWISBORO VOLUNTEER AMBULANCE CORPS INC
Street	777 RTE 35
City	CROSS RIVER
State	NY
ZIP	10518
Phone	914 763-3574
CertificateType	4
CertificateEffectiveDate	5/21/2013
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024