33D0166988 CLIA NUMBER - CHILD HEALTH ASSOC OF MADISON CO MD PC

Laboratory Demographics

  • CLIA Code: 33D0166988
  • Facility Name: CHILD HEALTH ASSOC OF MADISON CO MD PC
  • Facility Address: 1145 GLENWOOD AVENUE
    ONEIDA, NY
    ZIP 13421
  • Facility Phone: 315 363-4070
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRENE M. VANDERHOOF MD
  • NPI Number: 1528174133
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0166988
LAB Type Physician Office
Facility Name CHILD HEALTH ASSOC OF MADISON CO MD PC
Street 1145 GLENWOOD AVENUE
City ONEIDA
State NY
ZIP 13421
Phone 315 363-4070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Physician Office
Lab Director IRENE M. VANDERHOOF MD

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