33D2189978 CLIA NUMBER - JS KOSTER HOSE CO

Laboratory Demographics

  • CLIA Code: 33D2189978
  • Facility Name: JS KOSTER HOSE CO
  • Facility Address: 3387 DOUGLAS ST
    PORT LEYDEN, NY
    ZIP 13433
  • Facility Phone: 315 941-8200
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. TODD R. HOWLAND
  • NPI Number: 1124801618
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2189978
LAB Type Ambulance
Facility Name JS KOSTER HOSE CO
Street 3387 DOUGLAS ST
City PORT LEYDEN
State NY
ZIP 13433
Phone 315 941-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2020
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. TODD R. HOWLAND

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