33D0880241 CLIA NUMBER - CROSS KEYS INTERNAL MEDICINE LLP

Laboratory Demographics

  • CLIA Code: 33D0880241
  • Facility Name: CROSS KEYS INTERNAL MEDICINE LLP
  • Facility Address: 420 CROSS KEYS OFFICE PARK
    FAIRPORT, NY
    ZIP 14450
  • Facility Phone: 585 223-4620
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DAVID W. KOPP
  • NPI Number: 1528156841
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0880241
LAB Type Physician Office
Facility Name CROSS KEYS INTERNAL MEDICINE LLP
Street 420 CROSS KEYS OFFICE PARK
City FAIRPORT
State NY
ZIP 14450
Phone 585 223-4620
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 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Physician Office
Lab Director DR. DAVID W. KOPP

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