33D2277673 CLIA NUMBER - ELLICOTTVILLE/GREAT VALLEY AMBULANCE SERVICE INC

Laboratory Demographics

  • CLIA Code: 33D2277673
  • Facility Name: ELLICOTTVILLE/GREAT VALLEY AMBULANCE SERVICE INC
  • Facility Address: 30 FILLMORE DR
    ELLICOTTVILLE, NY
    ZIP 14731
  • Facility Phone: 716 699-2717
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN M. WALTERS
  • NPI Number: 1679608673
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 33D2277673
LAB Type Ambulance
Facility Name ELLICOTTVILLE/GREAT VALLEY AMBULANCE SERVICE INC
Street 30 FILLMORE DR
City ELLICOTTVILLE
State NY
ZIP 14731
Phone 716 699-2717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2023
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. BRIAN M. WALTERS

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