33D0689250 CLIA NUMBER - ROCHESTER GYNECOLOGIC & OBSTETRIC ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 33D0689250
  • Facility Name: ROCHESTER GYNECOLOGIC & OBSTETRIC ASSOCIATES, PC
  • Facility Address: 175 SULLY'S TRAIL
    PITTSFORD, NY
    ZIP 14534
  • Facility Phone: 585 248-4900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JULIE C. SANDRUCK
  • NPI Number: 1265911002
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 33D0689250
LAB Type Physician Office
Facility Name ROCHESTER GYNECOLOGIC & OBSTETRIC ASSOCIATES, PC
Street 175 SULLY'S TRAIL
City PITTSFORD
State NY
ZIP 14534
Phone 585 248-4900
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 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Physician Office
Lab Director DR. JULIE C. SANDRUCK

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