33D0663773 CLIA NUMBER - RIVER HOSPITAL LABORATORY

Laboratory Demographics

  • CLIA Code: 33D0663773
  • Facility Name: RIVER HOSPITAL LABORATORY
  • Facility Address: 4 FULLER STREET
    ALEXANDRIA BAY, NY
    ZIP 13607
  • Facility Phone: 315 482-1114
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. CHRISTIAN N. EZIDIEGWU
  • NPI Number: 1487650065
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0663773
LAB Type Hospital
Facility Name RIVER HOSPITAL LABORATORY
Street 4 FULLER STREET
City ALEXANDRIA BAY
State NY
ZIP 13607
Phone 315 482-1114
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/28/1995
Certificate Expiration Date 3/26/2027
Facility Type Hospital
Lab Director DR. CHRISTIAN N. EZIDIEGWU

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