33D2215860 CLIA NUMBER - BEDFORD-STUYVESANT VOLUNTEER AMBULANCE CORPS

Laboratory Demographics

CLIA Number: 33D2215860

Facility Name: BEDFORD-STUYVESANT VOLUNTEER AMBULANCE CORPS

Facility Address:
727 GREENE AVE
BROOKLYN, NY
ZIP 11221
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Facility Phone Number: 718 453-4617

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1467440834

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	33D2215860
LAB Type	Ambulance
Facility Name	BEDFORD-STUYVESANT VOLUNTEER AMBULANCE CORPS
Street	727 GREENE AVE
City	BROOKLYN
State	NY
ZIP	11221
Phone	718 453-4617
CertificateType	4
CertificateEffectiveDate	3/8/2021
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024