33D0654997 CLIA NUMBER - TOMPKINS COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 33D0654997
  • Facility Name: TOMPKINS COUNTY HEALTH DEPARTMENT
  • Facility Address: 55 BROWN ROAD
    ITHACA, NY
    ZIP 14850
  • Facility Phone: 607 274-6674
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM A. KLEPACK
  • NPI Number: 1760935605
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 33D0654997
LAB Type Community Clinic
Facility Name TOMPKINS COUNTY HEALTH DEPARTMENT
Street 55 BROWN ROAD
City ITHACA
State NY
ZIP 14850
Phone 607 274-6674
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/1994
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. WILLIAM A. KLEPACK

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