33D2297522 CLIA NUMBER - ST LAWRENCE UNIVERSITY EMERGENCY MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 33D2297522
  • Facility Name: ST LAWRENCE UNIVERSITY EMERGENCY MEDICAL SERVICES
  • Facility Address: 76 PARK STREET
    CANTON, NY
    ZIP 13617
  • Facility Phone: 315 229-5555
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. MATTHEW D. MAYNARD
  • NPI Number: 1891933982
  • Taxonomy: 347B00000X - Bus

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CLIA Record

Field Name Field Value
CLIA Number 33D2297522
LAB Type Ambulance
Facility Name ST LAWRENCE UNIVERSITY EMERGENCY MEDICAL SERVICES
Street 76 PARK STREET
City CANTON
State NY
ZIP 13617
Phone 315 229-5555
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. MATTHEW D. MAYNARD

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