33D0983012 CLIA NUMBER - NORTH WIND PRIMARY CARE PLLC

Laboratory Demographics

  • CLIA Code: 33D0983012
  • Facility Name: NORTH WIND PRIMARY CARE PLLC
  • Facility Address: 459 MARGARET STREET
    PLATTSBURGH, NY
    ZIP 12901
  • Facility Phone: 518 563-6348
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOHNNIE J. WREN
  • NPI Number: 1629646690
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0983012
LAB Type Physician Office
Facility Name NORTH WIND PRIMARY CARE PLLC
Street 459 MARGARET STREET
City PLATTSBURGH
State NY
ZIP 12901
Phone 518 563-6348
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Physician Office
Lab Director DR. JOHNNIE J. WREN

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