33D2290722 CLIA NUMBER - NORTHPORT FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 33D2290722
  • Facility Name: NORTHPORT FIRE DEPARTMENT
  • Facility Address: 204 MAIN ST
    NORTHPORT, NY
    ZIP 11768
  • Facility Phone: 631 261-7504
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. JACK W. GEFFKEN
  • NPI Number: 1275697005
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2290722
LAB Type Ambulance
Facility Name NORTHPORT FIRE DEPARTMENT
Street 204 MAIN ST
City NORTHPORT
State NY
ZIP 11768
Phone 631 261-7504
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2023
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. JACK W. GEFFKEN

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