33D0876263 CLIA NUMBER - JOHN M CANNON MD

Laboratory Demographics

  • CLIA Code: 33D0876263
  • Facility Name: JOHN M CANNON MD
  • Facility Address: 1770 LONG POND ROAD SUITE 101
    ROCHESTER, NY
    ZIP 14606
  • Facility Phone: 585 244-8110
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN M. CANNON
  • NPI Number: 1992790430
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 33D0876263
LAB Type Physician Office
Facility Name JOHN M CANNON MD
Street 1770 LONG POND ROAD SUITE 101
City ROCHESTER
State NY
ZIP 14606
Phone 585 244-8110
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 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Physician Office
Lab Director JOHN M. CANNON

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