33D0948228 CLIA NUMBER - SENECA COUNTY DEPT OF HEALTH

Laboratory Demographics

  • CLIA Code: 33D0948228
  • Facility Name: SENECA COUNTY DEPT OF HEALTH
  • Facility Address: 2465 BONADENT DR - SUITE 3
    WATERLOO, NY
    ZIP 13165
  • Facility Phone: 315 539-1920
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. TIMOTHY J. RYAN
  • NPI Number: 1497852875
  • Taxonomy: 252Y00000X - Early Intervention Provider Agency

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CLIA Record

Field Name Field Value
CLIA Number 33D0948228
LAB Type Community Clinic
Facility Name SENECA COUNTY DEPT OF HEALTH
Street 2465 BONADENT DR - SUITE 3
City WATERLOO
State NY
ZIP 13165
Phone 315 539-1920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/1998
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. TIMOTHY J. RYAN

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