33D0696761 CLIA NUMBER - MARK ANTOSH MD PC

Laboratory Demographics

  • CLIA Code: 33D0696761
  • Facility Name: MARK ANTOSH MD PC
  • Facility Address: 824 FRANKLIN PARK DRIVE
    EAST SYRACUSE, NY
    ZIP 13057
  • Facility Phone: 315 432-1048
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MARK ANTOSH
  • NPI Number: 1184716888
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0696761
LAB Type Physician Office
Facility Name MARK ANTOSH MD PC
Street 824 FRANKLIN PARK DRIVE
City EAST SYRACUSE
State NY
ZIP 13057
Phone 315 432-1048
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Physician Office
Lab Director DR. MARK ANTOSH

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