33D2318250 CLIA NUMBER - BROOKHAVEN AMBULANCE COMPANY INC DBA SOUTH COUNTRY AMBULANCE

Laboratory Demographics

  • CLIA Code: 33D2318250
  • Facility Name: BROOKHAVEN AMBULANCE COMPANY INC DBA SOUTH COUNTRY AMBULANCE
  • Facility Address: 32 SEELEY ST
    BROOKHAVEN, NY
    ZIP 11719
  • Facility Phone: 631 286-3400
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. ANDREW M. FLANNIGAN
  • NPI Number: 1649828179
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2318250
LAB Type Ambulance
Facility Name BROOKHAVEN AMBULANCE COMPANY INC DBA SOUTH COUNTRY AMBULANCE
Street 32 SEELEY ST
City BROOKHAVEN
State NY
ZIP 11719
Phone 631 286-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. ANDREW M. FLANNIGAN

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