33D0166825 CLIA NUMBER - MARY IMOGENE BASSETT HOSPITAL, HERKIMER LABORATORY, THE

Laboratory Demographics

CLIA Number: 33D0166825

Facility Name: MARY IMOGENE BASSETT HOSPITAL, HERKIMER LABORATORY, THE

Facility Address:
321 EAST ALBANY STREET
HERKIMER, NY
ZIP 13350
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Facility Phone Number: 315 867-2750

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Certificate of Compliance

NPI Number: 1841847779

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D0166825
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	MARY IMOGENE BASSETT HOSPITAL, HERKIMER LABORATORY, THE
Street	321 EAST ALBANY STREET
City	HERKIMER
State	NY
ZIP	13350
Phone	315 867-2750
CertificateType	2
CertificateEffectiveDate	8/28/1995
CertificateExpirationDate	3/26/2027
FacilityType	Compliance

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This page was last updated on: 4/23/2024