33D2321538 CLIA NUMBER - OLD FORGE VOLUNTEER AMBULANCE CORPS INC

Laboratory Demographics

  • CLIA Code: 33D2321538
  • Facility Name: OLD FORGE VOLUNTEER AMBULANCE CORPS INC
  • Facility Address: 2946 STATE RTE 28
    OLD FORGE, NY
    ZIP 13420
  • Facility Phone: 315 369-0257
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. TIMOTHY E. PAGE
  • NPI Number: 1366433658
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2321538
LAB Type Ambulance
Facility Name OLD FORGE VOLUNTEER AMBULANCE CORPS INC
Street 2946 STATE RTE 28
City OLD FORGE
State NY
ZIP 13420
Phone 315 369-0257
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director DR. TIMOTHY E. PAGE

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