33D2311362 CLIA NUMBER - PRIMARY CARE AMBULANCE CORP

Laboratory Demographics

  • CLIA Code: 33D2311362
  • Facility Name: PRIMARY CARE AMBULANCE CORP
  • Facility Address: 84 GRANITE AVE - SUITE K
    STATEN ISLAND, NY
    ZIP 10303
  • Facility Phone: 718 975-0600
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. ANTHONY L. VASSALLO
  • NPI Number: 1427160209
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2311362
LAB Type Ambulance
Facility Name PRIMARY CARE AMBULANCE CORP
Street 84 GRANITE AVE - SUITE K
City STATEN ISLAND
State NY
ZIP 10303
Phone 718 975-0600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. ANTHONY L. VASSALLO

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