33D0173353 CLIA NUMBER - HILLSIDE CHILDREN'S CENTER HEALTH CARE SERVICES

Laboratory Demographics

CLIA Code: 33D0173353
Facility Name: HILLSIDE CHILDREN'S CENTER HEALTH CARE SERVICES
Facility Address: 1183 MONROE AVE
ROCHESTER, NY
ZIP 14620
Facility Phone: 585 256-7595
Facility Type: Ancillary Testing Site in Health Care Center
Facility Type: Microscopy
Lab Director: DR. SUSAN M. YUSSMAN
NPI Number: 1639267933
Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name	Field Value
CLIA Number	33D0173353
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	HILLSIDE CHILDREN'S CENTER HEALTH CARE SERVICES
Street	1183 MONROE AVE
City	ROCHESTER
State	NY
ZIP	14620
Phone	585 256-7595
Certificate Type	Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description	This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date	4/11/2008
Certificate Expiration Date	3/26/2027
Facility Type	Ancillary Testing Site in Health Care Center
Lab Director	DR. SUSAN M. YUSSMAN

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