33D0168602 CLIA NUMBER - O'DELL MEDICAL CENTER

Laboratory Demographics

CLIA Number: 33D0168602

Facility Name: O'DELL MEDICAL CENTER

Facility Address:
263 LIBERTY STREET BOX 8
ARCADE, NY
ZIP 14009
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Facility Phone Number: 585 492-3000

Facility Type: Physician Office

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	33D0168602
LAB Type	Physician Office
Facility Name	O'DELL MEDICAL CENTER
Street	263 LIBERTY STREET BOX 8
City	ARCADE
State	NY
ZIP	14009
Phone	585 492-3000
CertificateType	4
CertificateEffectiveDate	7/2/2023
CertificateExpirationDate	7/1/2025
FacilityType	Waiver

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