33D2111208 CLIA NUMBER - BIG TREE VOLUNTEER FIRE COMPANY

Laboratory Demographics

  • CLIA Code: 33D2111208
  • Facility Name: BIG TREE VOLUNTEER FIRE COMPANY
  • Facility Address: 4112 BIG TREE ROAD
    HAMBURG, NY
    ZIP 14075
  • Facility Phone: 716 825-6144
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN CLEMENCY
  • NPI Number: 1184334369
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2111208
LAB Type Ambulance
Facility Name BIG TREE VOLUNTEER FIRE COMPANY
Street 4112 BIG TREE ROAD
City HAMBURG
State NY
ZIP 14075
Phone 716 825-6144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2016
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. BRIAN CLEMENCY

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