33D0956796 CLIA NUMBER - GREGORY J HEALEY MD DBA HEALEY MEDICAL PRACTICE

Laboratory Demographics

  • CLIA Code: 33D0956796
  • Facility Name: GREGORY J HEALEY MD DBA HEALEY MEDICAL PRACTICE
  • Facility Address: 25 PARK STREET
    CANTON, NY
    ZIP 13617
  • Facility Phone: 315 379-9158
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GREGORY J. HEALEY
  • NPI Number: 1558372086
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0956796
LAB Type Physician Office
Facility Name GREGORY J HEALEY MD DBA HEALEY MEDICAL PRACTICE
Street 25 PARK STREET
City CANTON
State NY
ZIP 13617
Phone 315 379-9158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Physician Office
Lab Director DR. GREGORY J. HEALEY

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