33D0685744 CLIA NUMBER - GOODMAN PEDIATRICS LLP

Laboratory Demographics

  • CLIA Code: 33D0685744
  • Facility Name: GOODMAN PEDIATRICS LLP
  • Facility Address: 500 HELENDALE ROAD, SUITE LLE-10
    ROCHESTER, NY
    ZIP 14609
  • Facility Phone: 585 473-7028
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SUSAN G. MILLER
  • NPI Number: 1306085345
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0685744
LAB Type Physician Office
Facility Name GOODMAN PEDIATRICS LLP
Street 500 HELENDALE ROAD, SUITE LLE-10
City ROCHESTER
State NY
ZIP 14609
Phone 585 473-7028
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Physician Office
Lab Director DR. SUSAN G. MILLER

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