33D2298883 CLIA NUMBER - AVERILL PARK - SAND LAKE FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 33D2298883
  • Facility Name: AVERILL PARK - SAND LAKE FIRE DEPARTMENT
  • Facility Address: 35 EASTERN UNION TPKE
    AVERILL PARK, NY
    ZIP 12018
  • Facility Phone: 518 674-3077
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. JACQUELINE WEAVER
  • NPI Number: 1114295268
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 33D2298883
LAB Type Ambulance
Facility Name AVERILL PARK - SAND LAKE FIRE DEPARTMENT
Street 35 EASTERN UNION TPKE
City AVERILL PARK
State NY
ZIP 12018
Phone 518 674-3077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. JACQUELINE WEAVER

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