33D0678516 CLIA NUMBER - TRILLIUM HEALTH INC

Laboratory Demographics

  • CLIA Code: 33D0678516
  • Facility Name: TRILLIUM HEALTH INC
  • Facility Address: 259 MONROE AVENUE
    ROCHESTER, NY
    ZIP 14607
  • Facility Phone: 585 210-4175
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. SARAH J. BOLDUC
  • NPI Number: 1285290593
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0678516
LAB Type Community Clinic
Facility Name TRILLIUM HEALTH INC
Street 259 MONROE AVENUE
City ROCHESTER
State NY
ZIP 14607
Phone 585 210-4175
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 8/11/2000
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. SARAH J. BOLDUC

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