33D2188201 CLIA NUMBER - LIFE NET NY TICONDEROGA

Laboratory Demographics

  • CLIA Code: 33D2188201
  • Facility Name: LIFE NET NY TICONDEROGA
  • Facility Address: 1207 NYS RTE 9N
    TICONDEROGA, NY
    ZIP 12883
  • Facility Phone: 518 558-1041
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. WARREN HAYASHI
  • NPI Number: 1073002820
  • Taxonomy: 3416A0800X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2188201
LAB Type Ambulance
Facility Name LIFE NET NY TICONDEROGA
Street 1207 NYS RTE 9N
City TICONDEROGA
State NY
ZIP 12883
Phone 518 558-1041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2020
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. WARREN HAYASHI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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