33D2289729 CLIA NUMBER - LAKE RONKONKOMA FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 33D2289729
  • Facility Name: LAKE RONKONKOMA FIRE DISTRICT
  • Facility Address: 177 PORTION RD
    RONKONKOMA, NY
    ZIP 11779
  • Facility Phone: (631) 588-8204
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. DARYL WILLIAMS
  • NPI Number: 1871373126
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2289729
LAB Type Ambulance
Facility Name LAKE RONKONKOMA FIRE DISTRICT
Street 177 PORTION RD
City RONKONKOMA
State NY
ZIP 11779
Phone 6315888204
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2023
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. DARYL WILLIAMS

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This page was last updated on: 5/18/2026