33D2318203 CLIA NUMBER - LONG LAKE RESCUE SQUAD INC

Laboratory Demographics

  • CLIA Code: 33D2318203
  • Facility Name: LONG LAKE RESCUE SQUAD INC
  • Facility Address: 111 SOUTH HILL RD
    LONG LAKE, NY
    ZIP 12847
  • Facility Phone: 518 624-4599
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. FREDERIC LAPORTE
  • NPI Number: 1972660819
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 33D2318203
LAB Type Ambulance
Facility Name LONG LAKE RESCUE SQUAD INC
Street 111 SOUTH HILL RD
City LONG LAKE
State NY
ZIP 12847
Phone 518 624-4599
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. FREDERIC LAPORTE

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