33D0965569 CLIA NUMBER - DJAFARI PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D0965569
  • Facility Name: DJAFARI PEDIATRICS
  • Facility Address: 15-17 KENNEDY PARKWAY
    CORTLAND, NY
    ZIP 13045
  • Facility Phone: 607 753-3051
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MOHAMMAD DJAFARI
  • NPI Number: 1669461711
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D0965569
LAB Type Physician Office
Facility Name DJAFARI PEDIATRICS
Street 15-17 KENNEDY PARKWAY
City CORTLAND
State NY
ZIP 13045
Phone 607 753-3051
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Physician Office
Lab Director DR. MOHAMMAD DJAFARI

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