33D2302910 CLIA NUMBER - TICONDEROGA EMERGENCY SQUAD INC

Laboratory Demographics

  • CLIA Code: 33D2302910
  • Facility Name: TICONDEROGA EMERGENCY SQUAD INC
  • Facility Address: 118 CHAMPLAIN AVE
    TICONDEROGA, NY
    ZIP 12883
  • Facility Phone: 518 503-5055
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. LAURA MULVEY
  • NPI Number: 1336245083
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2302910
LAB Type Ambulance
Facility Name TICONDEROGA EMERGENCY SQUAD INC
Street 118 CHAMPLAIN AVE
City TICONDEROGA
State NY
ZIP 12883
Phone 518 503-5055
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. LAURA MULVEY

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