33D0991810 CLIA NUMBER - BOONVILLE FAMILY CARE

Laboratory Demographics

  • CLIA Code: 33D0991810
  • Facility Name: BOONVILLE FAMILY CARE
  • Facility Address: 13407 STATE RTE 12
    BOONVILLE, NY
    ZIP 13309
  • Facility Phone: 315 942-3500
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MS. CORRINE E. REED
  • NPI Number: 1336116144
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D0991810
LAB Type Ancillary Testing Site in Health Care Center
Facility Name BOONVILLE FAMILY CARE
Street 13407 STATE RTE 12
City BOONVILLE
State NY
ZIP 13309
Phone 315 942-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2001
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MS. CORRINE E. REED

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