33D2082731 CLIA NUMBER - SOUTH ORANGETOWN AMBULANCE CORPS

Laboratory Demographics

  • CLIA Code: 33D2082731
  • Facility Name: SOUTH ORANGETOWN AMBULANCE CORPS
  • Facility Address: 70 INDEPENDENCE AVENUE
    TAPPAN, NY
    ZIP 10983
  • Facility Phone: 845 359-3030
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. STUART RASCH
  • NPI Number: 1255371001
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2082731
LAB Type Ambulance
Facility Name SOUTH ORANGETOWN AMBULANCE CORPS
Street 70 INDEPENDENCE AVENUE
City TAPPAN
State NY
ZIP 10983
Phone 845 359-3030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2014
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. STUART RASCH

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This page was last updated on: 3/20/2025