33D2289743 CLIA NUMBER - NESCONSET FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 33D2289743
  • Facility Name: NESCONSET FIRE DISTRICT
  • Facility Address: 25 GIBBS POND RD
    NESCONSET, NY
    ZIP 11767
  • Facility Phone: 631 265-1430
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT T. MARSHALL
  • NPI Number: 1891419230
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2289743
LAB Type Ambulance
Facility Name NESCONSET FIRE DISTRICT
Street 25 GIBBS POND RD
City NESCONSET
State NY
ZIP 11767
Phone 631 265-1430
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. ROBERT T. MARSHALL

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