33D0906328 CLIA NUMBER - WOMEN'S WELLNESS PLACE PC

Laboratory Demographics

  • CLIA Code: 33D0906328
  • Facility Name: WOMEN'S WELLNESS PLACE PC
  • Facility Address: 739 IRVING AVENUE SUITE 530
    SYRACUSE, NY
    ZIP 13210
  • Facility Phone: 315 478-1158
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. CHANTELL E. DALPE-FUNG
  • NPI Number: 1376617480
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 33D0906328
LAB Type Physician Office
Facility Name WOMEN'S WELLNESS PLACE PC
Street 739 IRVING AVENUE SUITE 530
City SYRACUSE
State NY
ZIP 13210
Phone 315 478-1158
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Physician Office
Lab Director DR. CHANTELL E. DALPE-FUNG

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