33D2101487 CLIA NUMBER - LIFENET OF NEW YORK/GUTHRIE AIR

Laboratory Demographics

CLIA Number: 33D2101487

Facility Name: LIFENET OF NEW YORK/GUTHRIE AIR

Facility Address:
6 OLD SCHOOL RD - HANGAR 1
SELKIRK, NY
ZIP 12158
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Facility Phone Number: 518 767-9500

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1639668320

Taxonomy: 3416A0800X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	33D2101487
LAB Type	Ambulance
Facility Name	LIFENET OF NEW YORK/GUTHRIE AIR
Street	6 OLD SCHOOL RD - HANGAR 1
City	SELKIRK
State	NY
ZIP	12158
Phone	518 767-9500
CertificateType	4
CertificateEffectiveDate	9/3/2015
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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