33D2297518 CLIA NUMBER - NORTHERN AMBULANCE CORPS LLC

Laboratory Demographics

  • CLIA Code: 33D2297518
  • Facility Name: NORTHERN AMBULANCE CORPS LLC
  • Facility Address: 347 ELM ST
    MALONE, NY
    ZIP 12953
  • Facility Phone: 518 483-6659
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. TIFFANY T. BOMBARD
  • NPI Number: 1104001932
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2297518
LAB Type Ambulance
Facility Name NORTHERN AMBULANCE CORPS LLC
Street 347 ELM ST
City MALONE
State NY
ZIP 12953
Phone 518 483-6659
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. TIFFANY T. BOMBARD

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