33D0905006 CLIA NUMBER - CANASTOTA LENOX HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 33D0905006
  • Facility Name: CANASTOTA LENOX HEALTH CENTER
  • Facility Address: 115 CENTER STREET
    CANASTOTA, NY
    ZIP 13032
  • Facility Phone: 315 697-5272
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY M. MULHOLLAND
  • NPI Number: 1760533780
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 33D0905006
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CANASTOTA LENOX HEALTH CENTER
Street 115 CENTER STREET
City CANASTOTA
State NY
ZIP 13032
Phone 315 697-5272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2011
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. JEFFREY M. MULHOLLAND

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