33D2292067 CLIA NUMBER - HOLTSVILLE FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 33D2292067
  • Facility Name: HOLTSVILLE FIRE DISTRICT
  • Facility Address: 1025 WAVERLY AVE
    HOLTSVILLE, NY
    ZIP 11742
  • Facility Phone: 631 475-2010
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN LEE
  • NPI Number: 1417121070
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 33D2292067
LAB Type Ambulance
Facility Name HOLTSVILLE FIRE DISTRICT
Street 1025 WAVERLY AVE
City HOLTSVILLE
State NY
ZIP 11742
Phone 631 475-2010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2023
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. BRIAN LEE

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