33D0167248 CLIA NUMBER - SAMSON A PACHIKARA MD PC JANE SAMSON MD

Laboratory Demographics

  • CLIA Code: 33D0167248
  • Facility Name: SAMSON A PACHIKARA MD PC JANE SAMSON MD
  • Facility Address: 123 GENESEE STREET
    NEW HARTFORD, NY
    ZIP 13413
  • Facility Phone: (315) 797-2314
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMSON A. PACHIKARA MD
  • NPI Number: 1831200088
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0167248
LAB Type Physician Office
Facility Name SAMSON A PACHIKARA MD PC JANE SAMSON MD
Street 123 GENESEE STREET
City NEW HARTFORD
State NY
ZIP 13413
Phone 3157972314
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director SAMSON A. PACHIKARA MD

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This page was last updated on: 6/29/2026