33D0971030 CLIA NUMBER - UPSTATE COMMUNITY OB/GYN

Laboratory Demographics

  • CLIA Code: 33D0971030
  • Facility Name: UPSTATE COMMUNITY OB/GYN
  • Facility Address: 4900 BROAD RD - POB SOUTH SUITE 2H
    SYRACUSE, NY
    ZIP 13215
  • Facility Phone: 315 492-2520
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. HOWARD M. WEINSTEIN
  • NPI Number: 1689620163
  • Taxonomy: 208M00000X - Hospitalist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D0971030
LAB Type Physician Office
Facility Name UPSTATE COMMUNITY OB/GYN
Street 4900 BROAD RD - POB SOUTH SUITE 2H
City SYRACUSE
State NY
ZIP 13215
Phone 315 492-2520
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/8/2017
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. HOWARD M. WEINSTEIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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