33D2184415 CLIA NUMBER - WEST ELMIRA FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 33D2184415
  • Facility Name: WEST ELMIRA FIRE DEPARTMENT
  • Facility Address: 1299 W WATER ST
    ELMIRA, NY
    ZIP 14905
  • Facility Phone: 607 734-2204
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. MARC IMMERMAN
  • NPI Number: 1154489714
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 33D2184415
LAB Type Ambulance
Facility Name WEST ELMIRA FIRE DEPARTMENT
Street 1299 W WATER ST
City ELMIRA
State NY
ZIP 14905
Phone 607 734-2204
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2020
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. MARC IMMERMAN

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