33D2299660 CLIA NUMBER - WADING RIVER FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 33D2299660
  • Facility Name: WADING RIVER FIRE DISTRICT
  • Facility Address: 1503 NORTH COUNTRY RD
    WADING RIVER, NY
    ZIP 11792
  • Facility Phone: 631 929-3753
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY CANGELOSI
  • NPI Number: 1194826651
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 33D2299660
LAB Type Ambulance
Facility Name WADING RIVER FIRE DISTRICT
Street 1503 NORTH COUNTRY RD
City WADING RIVER
State NY
ZIP 11792
Phone 631 929-3753
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. JEFFREY CANGELOSI

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