33D0169298 CLIA NUMBER - MEDINA MEMORIAL HOSPITAL LABORATORY

Laboratory Demographics

CLIA Number: 33D0169298

Facility Name: MEDINA MEMORIAL HOSPITAL LABORATORY

Facility Address:
200 OHIO ST
MEDINA, NY
ZIP 14103
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Facility Phone Number: 585 798-8040

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1366573131

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	33D0169298
LAB Type	Hospital
Facility Name	MEDINA MEMORIAL HOSPITAL LABORATORY
Street	200 OHIO ST
City	MEDINA
State	NY
ZIP	14103
Phone	585 798-8040
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