33D2311576 CLIA NUMBER - ELLINGTON FIRE DISTRICT NO 1

Laboratory Demographics

  • CLIA Code: 33D2311576
  • Facility Name: ELLINGTON FIRE DISTRICT NO 1
  • Facility Address: 769 W MAIN ST
    ELLINGTON, NY
    ZIP 14732
  • Facility Phone: 716 287-2168
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN M. WALTERS
  • NPI Number: 1639880024
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2311576
LAB Type Ambulance
Facility Name ELLINGTON FIRE DISTRICT NO 1
Street 769 W MAIN ST
City ELLINGTON
State NY
ZIP 14732
Phone 716 287-2168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. BRIAN M. WALTERS

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