33D0927498 CLIA NUMBER - BUTTERMILK FALLS PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 33D0927498
  • Facility Name: BUTTERMILK FALLS PEDIATRICS PLLC
  • Facility Address: 22 ARROWWOOD DRIVE, SUITE A
    ITHACA, NY
    ZIP 14850
  • Facility Phone: 607 272-6880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AMIT SHRIVASTAVA
  • NPI Number: 1316036635
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0927498
LAB Type Physician Office
Facility Name BUTTERMILK FALLS PEDIATRICS PLLC
Street 22 ARROWWOOD DRIVE, SUITE A
City ITHACA
State NY
ZIP 14850
Phone 607 272-6880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Physician Office
Lab Director DR. AMIT SHRIVASTAVA

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