33D2290990 CLIA NUMBER - EAST NORTHPORT FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 33D2290990
  • Facility Name: EAST NORTHPORT FIRE DISTRICT
  • Facility Address: 1 NINTH AVE
    EAST NORTHPORT, NY
    ZIP 11731
  • Facility Phone: (631) 261-0360
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. JACK W. GEFFKEN
  • NPI Number: 1154625051
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2290990
LAB Type Ambulance
Facility Name EAST NORTHPORT FIRE DISTRICT
Street 1 NINTH AVE
City EAST NORTHPORT
State NY
ZIP 11731
Phone 6312610360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2023
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: 5/18/2026