33D0898542 CLIA NUMBER - ONONDAGA WEST

Laboratory Demographics

  • CLIA Code: 33D0898542
  • Facility Name: ONONDAGA WEST
  • Facility Address: 4631 ONONDAGA BOULEVARD
    SYRACUSE, NY
    ZIP 13219
  • Facility Phone: 315 487-4844
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARK R. PISIK
  • NPI Number: 1811094402
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 33D0898542
LAB Type Physician Office
Facility Name ONONDAGA WEST
Street 4631 ONONDAGA BOULEVARD
City SYRACUSE
State NY
ZIP 13219
Phone 315 487-4844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2020
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. MARK R. PISIK

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