33D2296039 CLIA NUMBER - EVANS CENTER VOLUNTEER FIRE COMPANY, INC

Laboratory Demographics

  • CLIA Code: 33D2296039
  • Facility Name: EVANS CENTER VOLUNTEER FIRE COMPANY, INC
  • Facility Address: 8298 ERIE RD
    ANGOLA, NY
    ZIP 14006
  • Facility Phone: (716) 549-1221
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. KAORI TANAKA
  • NPI Number: 1013704717
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2296039
LAB Type Ambulance
Facility Name EVANS CENTER VOLUNTEER FIRE COMPANY, INC
Street 8298 ERIE RD
City ANGOLA
State NY
ZIP 14006
Phone 7165491221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. KAORI TANAKA

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This page was last updated on: 5/18/2026