33D0716803 CLIA NUMBER - IRONDEQUOIT PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 33D0716803
  • Facility Name: IRONDEQUOIT PEDIATRICS, PLLC
  • Facility Address: 809 EAST RIDGE ROAD
    ROCHESTER, NY
    ZIP 14621
  • Facility Phone: 585 266-0310
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. DOUGLAS H. BENNETT
  • NPI Number: 1568609568
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0716803
LAB Type Physician Office
Facility Name IRONDEQUOIT PEDIATRICS, PLLC
Street 809 EAST RIDGE ROAD
City ROCHESTER
State NY
ZIP 14621
Phone 585 266-0310
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 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Physician Office
Lab Director DR. DOUGLAS H. BENNETT

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