33D0171600 CLIA NUMBER - BROCKPORT INTERNAL MEDICINE PC

Laboratory Demographics

  • CLIA Code: 33D0171600
  • Facility Name: BROCKPORT INTERNAL MEDICINE PC
  • Facility Address: 34 WEST AVENUE
    BROCKPORT, NY
    ZIP 14420
  • Facility Phone: (585) 637-2161
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PANKAJ K. GARG
  • NPI Number: 1144434408
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0171600
LAB Type Physician Office
Facility Name BROCKPORT INTERNAL MEDICINE PC
Street 34 WEST AVENUE
City BROCKPORT
State NY
ZIP 14420
Phone 5856372161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type Physician Office
Lab Director DR. PANKAJ K. GARG

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This page was last updated on: 5/18/2026