33D0172349 CLIA NUMBER - VICTOR INTERNAL MEDICINE & PEDIATRICS PC DBA VICTOR HEALTH ASSOCIATES

Laboratory Demographics

  • CLIA Code: 33D0172349
  • Facility Name: VICTOR INTERNAL MEDICINE & PEDIATRICS PC DBA VICTOR HEALTH ASSOCIATES
  • Facility Address: 6532 ANTHONY DRIVE, SUITE A
    VICTOR, NY
    ZIP 14564
  • Facility Phone: 585 924-2100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KEVIN D. PENIRD
  • NPI Number: 1275673758
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0172349
LAB Type Physician Office
Facility Name VICTOR INTERNAL MEDICINE & PEDIATRICS PC DBA VICTOR HEALTH ASSOCIATES
Street 6532 ANTHONY DRIVE, SUITE A
City VICTOR
State NY
ZIP 14564
Phone 585 924-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Physician Office
Lab Director DR. KEVIN D. PENIRD

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This page was last updated on: 9/29/2025