33D2318171 CLIA NUMBER - FORESTVILLE FIRE DEPARTMENT INC

Laboratory Demographics

  • CLIA Code: 33D2318171
  • Facility Name: FORESTVILLE FIRE DEPARTMENT INC
  • Facility Address: 18 CHESTNUT ST
    FORESTVILLE, NY
    ZIP 14062
  • Facility Phone: 716 965-4106
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN M. WALTERS
  • NPI Number: 1346968526
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2318171
LAB Type Ambulance
Facility Name FORESTVILLE FIRE DEPARTMENT INC
Street 18 CHESTNUT ST
City FORESTVILLE
State NY
ZIP 14062
Phone 716 965-4106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
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