33D0670489 CLIA NUMBER - TIOGA OPPORTUNITIES PROGRAM INC FAMILY PLANNING CLINIC

Laboratory Demographics

  • CLIA Code: 33D0670489
  • Facility Name: TIOGA OPPORTUNITIES PROGRAM INC FAMILY PLANNING CLINIC
  • Facility Address: 110 CENTRAL AVENUE
    OWEGO, NY
    ZIP 13827
  • Facility Phone: 607 687-5333
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. SUSAN M. JACKSON
  • NPI Number: 1174799290
  • Taxonomy: 261QF0050X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0670489
LAB Type Community Clinic
Facility Name TIOGA OPPORTUNITIES PROGRAM INC FAMILY PLANNING CLINIC
Street 110 CENTRAL AVENUE
City OWEGO
State NY
ZIP 13827
Phone 607 687-5333
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 10/29/1996
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. SUSAN M. JACKSON

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