33D0165860 CLIA NUMBER - RENATO Y MANDANAS MD

Laboratory Demographics

  • CLIA Code: 33D0165860
  • Facility Name: RENATO Y MANDANAS MD
  • Facility Address: 144 WEST 5TH ST
    OSWEGO, NY
    ZIP 13126
  • Facility Phone: 315 342-1765
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RENATO Y. MANDANAS
  • NPI Number: 1154492296
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0165860
LAB Type Physician Office
Facility Name RENATO Y MANDANAS MD
Street 144 WEST 5TH ST
City OSWEGO
State NY
ZIP 13126
Phone 315 342-1765
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2023
Certificate Expiration Date 7/29/2025
Facility Type Physician Office
Lab Director RENATO Y. MANDANAS

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This page was last updated on: 6/4/2025