33D2287990 CLIA NUMBER - ROOSEVELT FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 33D2287990
  • Facility Name: ROOSEVELT FIRE DEPARTMENT
  • Facility Address: 56 W CENTENIAL AVE
    ROOSEVELT, NY
    ZIP 11575
  • Facility Phone: 516 771-3370
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. NEIL KIRKSCHEN
  • NPI Number: 1407903123
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 33D2287990
LAB Type Ambulance
Facility Name ROOSEVELT FIRE DEPARTMENT
Street 56 W CENTENIAL AVE
City ROOSEVELT
State NY
ZIP 11575
Phone 516 771-3370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2023
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. NEIL KIRKSCHEN

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