33D2183127 CLIA NUMBER - HAVERSTRAW AMBULANCE CORPS INC

Laboratory Demographics

  • CLIA Code: 33D2183127
  • Facility Name: HAVERSTRAW AMBULANCE CORPS INC
  • Facility Address: 160 NORTH RTE 9W
    HAVERSTRAW, NY
    ZIP 10927
  • Facility Phone: 845 947-5500
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. DENNIS MAO
  • NPI Number: 1164458022
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2183127
LAB Type Ambulance
Facility Name HAVERSTRAW AMBULANCE CORPS INC
Street 160 NORTH RTE 9W
City HAVERSTRAW
State NY
ZIP 10927
Phone 845 947-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2020
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. DENNIS MAO

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