33D2291704 CLIA NUMBER - MANORVILLE COMMUNITY AMBULANCE INC

Laboratory Demographics

  • CLIA Code: 33D2291704
  • Facility Name: MANORVILLE COMMUNITY AMBULANCE INC
  • Facility Address: 184 SOUTH ST
    MANORVILLE, NY
    ZIP 11949
  • Facility Phone: 631 878-6333
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT T. MARSHALL
  • NPI Number: 1942443213
  • Taxonomy: 252Y00000X - Early Intervention Provider Agency

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2291704
LAB Type Ambulance
Facility Name MANORVILLE COMMUNITY AMBULANCE INC
Street 184 SOUTH ST
City MANORVILLE
State NY
ZIP 11949
Phone 631 878-6333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2023
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. ROBERT T. MARSHALL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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