33D0949500 CLIA NUMBER - GOSHEN PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 33D0949500
  • Facility Name: GOSHEN PEDIATRICS PC
  • Facility Address: 2002 ROUTE 17 M-SUITE 8
    GOSHEN, NY
    ZIP 10924
  • Facility Phone: 845 291-7059
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES N. WAPSHARE
  • NPI Number: 1073997623
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0949500
LAB Type Physician Office
Facility Name GOSHEN PEDIATRICS PC
Street 2002 ROUTE 17 M-SUITE 8
City GOSHEN
State NY
ZIP 10924
Phone 845 291-7059
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Physician Office
Lab Director DR. JAMES N. WAPSHARE

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