CLIA lab
CLIA 33D1102161: Black River Ambulance Squad Inc
Black River, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D1102161 belongs to Black River Ambulance Squad Inc in Black River, NY.
Certificate of Waiver, effective July 14, 2009, expires March 26, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 14, 2009
- Certificate expiration
- March 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 14, 2009
- Facility type
- Ambulance
- Ownership (control type)
- Private
- Lab classification
- CLIA exempt laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 33D1102161
- Lab name
- Black River Ambulance Squad Inc
- Address
- 121 Leray Street, Black River, NY 13612
- Phone
- (315) 773-4501
- Fax
- (315) 775-0291
Annual test volume the lab reported
- Waived tests
- 220
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Black River Ambulance Squad Inc in Black River?
33D1102161, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Black River Ambulance Squad Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D1102161 expire?
The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect July 14, 2009.