33D0174234 CLIA NUMBER - TRI-COUNTY FAMILY MEDICINE PROGRAM

Laboratory Demographics

  • CLIA Code: 33D0174234
  • Facility Name: TRI-COUNTY FAMILY MEDICINE PROGRAM
  • Facility Address: 25 PARK AVENUE
    COHOCTON, NY
    ZIP 14826
  • Facility Phone: 585 384-5310
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD L. PARKER
  • NPI Number: 1841494903
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0174234
LAB Type Community Clinic
Facility Name TRI-COUNTY FAMILY MEDICINE PROGRAM
Street 25 PARK AVENUE
City COHOCTON
State NY
ZIP 14826
Phone 585 384-5310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/1998
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. RICHARD L. PARKER

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