33D2291798 CLIA NUMBER - YOUNGSTOWN VOLUNTEER FIRE COMPANY

Laboratory Demographics

CLIA Number: 33D2291798

Facility Name: YOUNGSTOWN VOLUNTEER FIRE COMPANY

Facility Address:
625 THIRD ST
YOUNGSTOWN, NY
ZIP 14174
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Facility Phone Number: 716 745-3324

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1568616324

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	33D2291798
LAB Type	Ambulance
Facility Name	YOUNGSTOWN VOLUNTEER FIRE COMPANY
Street	625 THIRD ST
City	YOUNGSTOWN
State	NY
ZIP	14174
Phone	716 745-3324
CertificateType	4
CertificateEffectiveDate	10/16/2023
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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