33D0970587 CLIA NUMBER - ST JOSEPHS PATHOLOGY PC HISTOLOGY LAB

Laboratory Demographics

CLIA Number: 33D0970587

Facility Name: ST JOSEPHS PATHOLOGY PC HISTOLOGY LAB

Facility Address:
4208 MEDICAL CENTER DR ROOM 107-A
FAYETTEVILLE, NY
ZIP 13066
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Facility Phone Number: 315 461-3036

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Certificate of Compliance

NPI Number: 1235121575

Taxonomy: 207ZP0102X - Pathology
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

CLIA Record

Field Name Field Value
CLIA Number 33D0970587
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ST JOSEPHS PATHOLOGY PC HISTOLOGY LAB
Street 4208 MEDICAL CENTER DR ROOM 107-A
City FAYETTEVILLE
State NY
ZIP 13066
Phone 315 461-3036
CertificateType 2
CertificateEffectiveDate 2/18/2000
CertificateExpirationDate 3/26/2027
FacilityType Compliance

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