33D0720525 CLIA NUMBER - CHAUTAUQUA CENTER ELMIRA, THE

Laboratory Demographics

  • CLIA Code: 33D0720525
  • Facility Name: CHAUTAUQUA CENTER ELMIRA, THE
  • Facility Address: 1005 WALNUT ST
    ELMIRA, NY
    ZIP 14901
  • Facility Phone: 607 734-3968
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. TAT SUM LEE
  • NPI Number: 1215979018
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 33D0720525
LAB Type Federally Qualified Health Center
Facility Name CHAUTAUQUA CENTER ELMIRA, THE
Street 1005 WALNUT ST
City ELMIRA
State NY
ZIP 14901
Phone 607 734-3968
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 3/26/2027
Facility Type Federally Qualified Health Center
Lab Director DR. TAT SUM LEE

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