33D0165496 CLIA NUMBER - CORTLAND COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 33D0165496
  • Facility Name: CORTLAND COUNTY HEALTH DEPARTMENT
  • Facility Address: 60 CENTRAL AVE - RM 107
    CORTLAND, NY
    ZIP 13045
  • Facility Phone: 607 753-5139
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. NGOZI MEZU-PATEL
  • NPI Number: 1760480891
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 33D0165496
LAB Type Community Clinic
Facility Name CORTLAND COUNTY HEALTH DEPARTMENT
Street 60 CENTRAL AVE - RM 107
City CORTLAND
State NY
ZIP 13045
Phone 607 753-5139
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2021
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. NGOZI MEZU-PATEL

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