33D2301002 CLIA NUMBER - QUEENSBURY EMERGENCY MEDICAL SERVICES

Laboratory Demographics

CLIA Number: 33D2301002

Facility Name: QUEENSBURY EMERGENCY MEDICAL SERVICES

Facility Address:
1109 RIDGE RD
QUEENSBURY, NY
ZIP 12804
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Facility Phone Number: 518 743-9566

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1588995666

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	33D2301002
LAB Type	Ambulance
Facility Name	QUEENSBURY EMERGENCY MEDICAL SERVICES
Street	1109 RIDGE RD
City	QUEENSBURY
State	NY
ZIP	12804
Phone	518 743-9566
CertificateType	4
CertificateEffectiveDate	3/20/2024
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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