33D0682921 CLIA NUMBER - FAIRGROUNDS FAMILY PHYSICIANS PLLC

Laboratory Demographics

  • CLIA Code: 33D0682921
  • Facility Name: FAIRGROUNDS FAMILY PHYSICIANS PLLC
  • Facility Address: 115 FAIRGROUNDS DRIVE
    MANLIUS, NY
    ZIP 13104
  • Facility Phone: 315 682-6165
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DR. PHILIP KAPLAN
  • NPI Number: 1174690440
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0682921
LAB Type Independent
Facility Name FAIRGROUNDS FAMILY PHYSICIANS PLLC
Street 115 FAIRGROUNDS DRIVE
City MANLIUS
State NY
ZIP 13104
Phone 315 682-6165
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Independent
Lab Director DR. PHILIP KAPLAN

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