33D2275520 CLIA NUMBER - CAYUGA HEALTH TRANSPORT, LLC

Laboratory Demographics

  • CLIA Code: 33D2275520
  • Facility Name: CAYUGA HEALTH TRANSPORT, LLC
  • Facility Address: 101 DATES DRIVE
    ITHACA, NY
    ZIP 14850
  • Facility Phone: 607 274-4582
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. JERRY R. EMMONS
  • NPI Number: 1205544012
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2275520
LAB Type Ambulance
Facility Name CAYUGA HEALTH TRANSPORT, LLC
Street 101 DATES DRIVE
City ITHACA
State NY
ZIP 14850
Phone 607 274-4582
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2023
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. JERRY R. EMMONS

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