33D2309179 CLIA NUMBER - RAVENA RESCUE SQUAD INC

Laboratory Demographics

  • CLIA Code: 33D2309179
  • Facility Name: RAVENA RESCUE SQUAD INC
  • Facility Address: 1 BRUNO BLVD
    RAVENA, NY
    ZIP 12143
  • Facility Phone: (518) 756-2096
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. STEPHEN G. HASSETT
  • NPI Number: 1609866094
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2309179
LAB Type Ambulance
Facility Name RAVENA RESCUE SQUAD INC
Street 1 BRUNO BLVD
City RAVENA
State NY
ZIP 12143
Phone 5187562096
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. STEPHEN G. HASSETT

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This page was last updated on: 5/18/2026