33D1017351 CLIA NUMBER - BENARDOT PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 33D1017351
  • Facility Name: BENARDOT PEDIATRICS PLLC
  • Facility Address: 58 ELM STREET
    MALONE, NY
    ZIP 12953
  • Facility Phone: 518 483-5800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMILE L. BENARDOT MD
  • NPI Number: 1730122359
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D1017351
LAB Type Physician Office
Facility Name BENARDOT PEDIATRICS PLLC
Street 58 ELM STREET
City MALONE
State NY
ZIP 12953
Phone 518 483-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Physician Office
Lab Director EMILE L. BENARDOT MD

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