33D2219724 CLIA NUMBER - GRAHAMSVILLE FIRST AID SQUAD

Laboratory Demographics

  • CLIA Code: 33D2219724
  • Facility Name: GRAHAMSVILLE FIRST AID SQUAD
  • Facility Address: 499 MAIN ST
    GRAHAMSVILLE, NY
    ZIP 12740
  • Facility Phone: (845) 798-8937
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. JONATHAN P. FONG
  • NPI Number: 1801866702
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2219724
LAB Type Ambulance
Facility Name GRAHAMSVILLE FIRST AID SQUAD
Street 499 MAIN ST
City GRAHAMSVILLE
State NY
ZIP 12740
Phone 8457988937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2021
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. JONATHAN P. FONG

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This page was last updated on: 6/29/2026