33D2310561 CLIA NUMBER - SOUTHAMPTON VILLAGE VOLUNTEER EMERGENCY AMBULANCE SERVICE INC

Laboratory Demographics

  • CLIA Code: 33D2310561
  • Facility Name: SOUTHAMPTON VILLAGE VOLUNTEER EMERGENCY AMBULANCE SERVICE INC
  • Facility Address: 165 WINDMILL LANE
    SOUTHAMPTON, NY
    ZIP 11968
  • Facility Phone: 631 287-0558
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL S. CROUGH
  • NPI Number: 1255349239
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2310561
LAB Type Ambulance
Facility Name SOUTHAMPTON VILLAGE VOLUNTEER EMERGENCY AMBULANCE SERVICE INC
Street 165 WINDMILL LANE
City SOUTHAMPTON
State NY
ZIP 11968
Phone 631 287-0558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. DANIEL S. CROUGH

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