33D2291060 CLIA NUMBER - AMBULANCE COMMITTEE OF THE MORICHES DBA EAST MORICHES COMMUNITY AMBULANCE

Laboratory Demographics

CLIA Number: 33D2291060

Facility Name: AMBULANCE COMMITTEE OF THE MORICHES DBA EAST MORICHES COMMUNITY AMBULANCE

Facility Address:
275 MONTAUK HWY
EAST MORICHES, NY
ZIP 11940
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Facility Phone Number: 631 878-4230

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1558903450

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	33D2291060
LAB Type	Ambulance
Facility Name	AMBULANCE COMMITTEE OF THE MORICHES DBA EAST MORICHES COMMUNITY AMBULANCE
Street	275 MONTAUK HWY
City	EAST MORICHES
State	NY
ZIP	11940
Phone	631 878-4230
CertificateType	4
CertificateEffectiveDate	10/4/2023
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024