33D0676968 CLIA NUMBER - ITHACA UROLOGY PC

Laboratory Demographics

  • CLIA Code: 33D0676968
  • Facility Name: ITHACA UROLOGY PC
  • Facility Address: 1301 TRUMANSBURG ROAD
    ITHACA, NY
    ZIP 14850
  • Facility Phone: 607 273-8502
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT MEYER
  • NPI Number: 1427009802
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 33D0676968
LAB Type Physician Office
Facility Name ITHACA UROLOGY PC
Street 1301 TRUMANSBURG ROAD
City ITHACA
State NY
ZIP 14850
Phone 607 273-8502
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 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director ROBERT MEYER

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