33D2310699 CLIA NUMBER - EDEN EMERGENCY SQUAD INC

Laboratory Demographics

  • CLIA Code: 33D2310699
  • Facility Name: EDEN EMERGENCY SQUAD INC
  • Facility Address: 2795 E CHURCH ST
    EDEN, NY
    ZIP 14057
  • Facility Phone: 716 992-4460
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. JOHANNA C. INNES
  • NPI Number: 1538395389
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2310699
LAB Type Ambulance
Facility Name EDEN EMERGENCY SQUAD INC
Street 2795 E CHURCH ST
City EDEN
State NY
ZIP 14057
Phone 716 992-4460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. JOHANNA C. INNES

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