33D0726316 CLIA NUMBER - PENFIELD PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 33D0726316
  • Facility Name: PENFIELD PEDIATRICS LLC
  • Facility Address: 21 WILLOW POND WAY SUITE 200
    PENFIELD, NY
    ZIP 14526
  • Facility Phone: 585 377-0840
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ELLIOT KAPLAN
  • NPI Number: 1629159496
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0726316
LAB Type Physician Office
Facility Name PENFIELD PEDIATRICS LLC
Street 21 WILLOW POND WAY SUITE 200
City PENFIELD
State NY
ZIP 14526
Phone 585 377-0840
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 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Physician Office
Lab Director DR. ELLIOT KAPLAN

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