33D0880716 CLIA NUMBER - STAMFORD FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 33D0880716
  • Facility Name: STAMFORD FAMILY PRACTICE
  • Facility Address: 32-34 MAIN STREET
    STAMFORD, NY
    ZIP 12167
  • Facility Phone: 607 652-2000
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. JOHN M. FISK
  • NPI Number: 1114114808
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 33D0880716
LAB Type Ancillary Testing Site in Health Care Center
Facility Name STAMFORD FAMILY PRACTICE
Street 32-34 MAIN STREET
City STAMFORD
State NY
ZIP 12167
Phone 607 652-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2014
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. JOHN M. FISK

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