33D0932756 CLIA NUMBER - VILLAGE FOOT CARE

Laboratory Demographics

  • CLIA Code: 33D0932756
  • Facility Name: VILLAGE FOOT CARE
  • Facility Address: 186 VILLAGE SQUARE PO BOX 396
    PAINTED POST, NY
    ZIP 14870
  • Facility Phone: 607 936-9985
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES B. ROUSH
  • NPI Number: 1609984053
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 33D0932756
LAB Type Physician Office
Facility Name VILLAGE FOOT CARE
Street 186 VILLAGE SQUARE PO BOX 396
City PAINTED POST
State NY
ZIP 14870
Phone 607 936-9985
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Physician Office
Lab Director DR. JAMES B. ROUSH

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