33D0967465 CLIA NUMBER - ERIKA CONNOR LLP

Laboratory Demographics

CLIA Number: 33D0967465

Facility Name: ERIKA CONNOR LLP

Facility Address:
111 MAIN STREET
RANDOLPH, NY
ZIP 14772
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Facility Phone Number: 716 358-2340

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1336136274

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	33D0967465
LAB Type	Physician Office
Facility Name	ERIKA CONNOR LLP
Street	111 MAIN STREET
City	RANDOLPH
State	NY
ZIP	14772
Phone	716 358-2340
CertificateType	4
CertificateEffectiveDate	3/4/2023
CertificateExpirationDate	3/3/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024