33D2302907 CLIA NUMBER - COMMACK VOLUNTEER AMBULANCE CORPS

Laboratory Demographics

  • CLIA Code: 33D2302907
  • Facility Name: COMMACK VOLUNTEER AMBULANCE CORPS
  • Facility Address: 200 BURR RD
    COMMACK, NY
    ZIP 11725
  • Facility Phone: 631 499-9342
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN BLAUSTEIN
  • NPI Number: 1033596838
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2302907
LAB Type Ambulance
Facility Name COMMACK VOLUNTEER AMBULANCE CORPS
Street 200 BURR RD
City COMMACK
State NY
ZIP 11725
Phone 631 499-9342
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. BRIAN BLAUSTEIN

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