33D2261698 CLIA NUMBER - SACKETS HARBOR FIRE COMPANY INC

Laboratory Demographics

  • CLIA Code: 33D2261698
  • Facility Name: SACKETS HARBOR FIRE COMPANY INC
  • Facility Address: 112 N BROAD ST
    SACKETS HARBOR, NY
    ZIP 13685
  • Facility Phone: 315 646-2770
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. MATTHEW D. MAYNARD
  • NPI Number: 1013045327
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 33D2261698
LAB Type Ambulance
Facility Name SACKETS HARBOR FIRE COMPANY INC
Street 112 N BROAD ST
City SACKETS HARBOR
State NY
ZIP 13685
Phone 315 646-2770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2022
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. MATTHEW D. MAYNARD

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