33D0142541 CLIA NUMBER - WASHINGTONVILLE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D0142541
  • Facility Name: WASHINGTONVILLE PEDIATRICS
  • Facility Address: 10 WEATHERVANE DRIVE
    WASHINGTONVILLE, NY
    ZIP 10992
  • Facility Phone: 845 496-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARTINA BEZDICKOVA
  • NPI Number: 1568579217
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0142541
LAB Type Physician Office
Facility Name WASHINGTONVILLE PEDIATRICS
Street 10 WEATHERVANE DRIVE
City WASHINGTONVILLE
State NY
ZIP 10992
Phone 845 496-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2016
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. MARTINA BEZDICKOVA

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