33D0971090 CLIA NUMBER - JAY F SULLIVAN MD PC

Laboratory Demographics

  • CLIA Code: 33D0971090
  • Facility Name: JAY F SULLIVAN MD PC
  • Facility Address: 4882-B NORTH JEFFERSON STREET
    PULASKI, NY
    ZIP 13142
  • Facility Phone: 315 298-2768
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAY F. SULLIVAN
  • NPI Number: 1861426413
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D0971090
LAB Type Physician Office
Facility Name JAY F SULLIVAN MD PC
Street 4882-B NORTH JEFFERSON STREET
City PULASKI
State NY
ZIP 13142
Phone 315 298-2768
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Physician Office
Lab Director JAY F. SULLIVAN

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