33D2302966 CLIA NUMBER - KINGS PARK FIRE DEPARTMENT INC

Laboratory Demographics

  • CLIA Code: 33D2302966
  • Facility Name: KINGS PARK FIRE DEPARTMENT INC
  • Facility Address: 2 E MAIN ST
    KINGS PARK, NY
    ZIP 11754
  • Facility Phone: 631 269-2994
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. JUAN ACOSTA
  • NPI Number: 1417922717
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 33D2302966
LAB Type Ambulance
Facility Name KINGS PARK FIRE DEPARTMENT INC
Street 2 E MAIN ST
City KINGS PARK
State NY
ZIP 11754
Phone 631 269-2994
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. JUAN ACOSTA

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