33D0685589 CLIA NUMBER - PREVENTIVE MEDICINE ASSOCIATES PLLC

Laboratory Demographics

  • CLIA Code: 33D0685589
  • Facility Name: PREVENTIVE MEDICINE ASSOCIATES PLLC
  • Facility Address: 5415 W GENESEE STREET SUITE 301
    CAMILLUS, NY
    ZIP 13031
  • Facility Phone: 315 487-8109
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: JOSEPH T. BARRY
  • NPI Number: 1710099304
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0685589
LAB Type Physician Office
Facility Name PREVENTIVE MEDICINE ASSOCIATES PLLC
Street 5415 W GENESEE STREET SUITE 301
City CAMILLUS
State NY
ZIP 13031
Phone 315 487-8109
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director JOSEPH T. BARRY

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