33D0166138 CLIA NUMBER - MADISON IRVING PEDIATRICS, PC EAST SIDE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D0166138
  • Facility Name: MADISON IRVING PEDIATRICS, PC EAST SIDE PEDIATRICS
  • Facility Address: 6711 TOWPATH ROAD SUITE 235
    EAST SYRACUSE, NY
    ZIP 13057
  • Facility Phone: 315 471-2646
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MEGAN L. CAMPBELL
  • NPI Number: 1063576312
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0166138
LAB Type Physician Office
Facility Name MADISON IRVING PEDIATRICS, PC EAST SIDE PEDIATRICS
Street 6711 TOWPATH ROAD SUITE 235
City EAST SYRACUSE
State NY
ZIP 13057
Phone 315 471-2646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Physician Office
Lab Director DR. MEGAN L. CAMPBELL

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