33D2271501 CLIA NUMBER - FORT COVINGTON EMS INC

Laboratory Demographics

  • CLIA Code: 33D2271501
  • Facility Name: FORT COVINGTON EMS INC
  • Facility Address: 2454 CHATEAUGAY ST
    FORT COVINGTON, NY
    ZIP 12937
  • Facility Phone: 518 358-9970
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. TIFFANY BOMBARD
  • NPI Number: 1942631627
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2271501
LAB Type Ambulance
Facility Name FORT COVINGTON EMS INC
Street 2454 CHATEAUGAY ST
City FORT COVINGTON
State NY
ZIP 12937
Phone 518 358-9970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2022
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. TIFFANY BOMBARD

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This page was last updated on: 6/4/2025