33D2310776 CLIA NUMBER - CHURCHVILLE FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 33D2310776
  • Facility Name: CHURCHVILLE FIRE DEPARTMENT
  • Facility Address: 24 WASHINGTON ST
    CHURCHVILLE, NY
    ZIP 14428
  • Facility Phone: 585 293-3770
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. JEREMY T. CUSHMAN
  • NPI Number: 1457524944
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2310776
LAB Type Ambulance
Facility Name CHURCHVILLE FIRE DEPARTMENT
Street 24 WASHINGTON ST
City CHURCHVILLE
State NY
ZIP 14428
Phone 585 293-3770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2024
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. JEREMY T. CUSHMAN

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