33D2311317 CLIA NUMBER - SAND LAKE AMBULANCE INC

Laboratory Demographics

  • CLIA Code: 33D2311317
  • Facility Name: SAND LAKE AMBULANCE INC
  • Facility Address: 3643 NY RTE 43
    WEST SAND LAKE, NY
    ZIP 12196
  • Facility Phone: (518) 674-2221
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. WARREN HAYASHI
  • NPI Number: 1629182076
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2311317
LAB Type Ambulance
Facility Name SAND LAKE AMBULANCE INC
Street 3643 NY RTE 43
City WEST SAND LAKE
State NY
ZIP 12196
Phone 5186742221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2024
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. WARREN HAYASHI

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