33D2299453 CLIA NUMBER - KUYAHOORA VOLUNTEER AMBULANCE CORPS INC

Laboratory Demographics

CLIA Number: 33D2299453

Facility Name: KUYAHOORA VOLUNTEER AMBULANCE CORPS INC

Facility Address:
39 CASE ST
POLAND, NY
ZIP 13431
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Facility Phone Number: 315 826-3525

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1043294614

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	33D2299453
LAB Type	Ambulance
Facility Name	KUYAHOORA VOLUNTEER AMBULANCE CORPS INC
Street	39 CASE ST
City	POLAND
State	NY
ZIP	13431
Phone	315 826-3525
CertificateType	4
CertificateEffectiveDate	2/21/2024
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024