33D2302117 CLIA NUMBER - HOLBROOK FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 33D2302117
  • Facility Name: HOLBROOK FIRE DISTRICT
  • Facility Address: 390 TERRY BLVD
    HOLBROOK, NY
    ZIP 11741
  • Facility Phone: 631 588-0099
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN S. BLAUSTEIN
  • NPI Number: 1821877937
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2302117
LAB Type Ambulance
Facility Name HOLBROOK FIRE DISTRICT
Street 390 TERRY BLVD
City HOLBROOK
State NY
ZIP 11741
Phone 631 588-0099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. BRIAN S. BLAUSTEIN

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