33D2316946 CLIA NUMBER - MAMAKATING FIRST AID SQUAD INC

Laboratory Demographics

  • CLIA Code: 33D2316946
  • Facility Name: MAMAKATING FIRST AID SQUAD INC
  • Facility Address: 68 SULLIVAN ST
    WURTSBORO, NY
    ZIP 12790
  • Facility Phone: 845 888-2544
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. NICKI E. MAXWELL
  • NPI Number: 1477623320
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2316946
LAB Type Ambulance
Facility Name MAMAKATING FIRST AID SQUAD INC
Street 68 SULLIVAN ST
City WURTSBORO
State NY
ZIP 12790
Phone 845 888-2544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. NICKI E. MAXWELL

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