33D2293740 CLIA NUMBER - CHAMPLAIN EMS INC

Laboratory Demographics

  • CLIA Code: 33D2293740
  • Facility Name: CHAMPLAIN EMS INC
  • Facility Address: 1150 STATE RTE 11
    CHAMPLAIN, NY
    ZIP 12919
  • Facility Phone: 518 298-5911
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL DURSO
  • NPI Number: 1053394239
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2293740
LAB Type Ambulance
Facility Name CHAMPLAIN EMS INC
Street 1150 STATE RTE 11
City CHAMPLAIN
State NY
ZIP 12919
Phone 518 298-5911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. MICHAEL DURSO

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This page was last updated on: 3/20/2025