33D1020433 CLIA NUMBER - LAKEVILLE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 33D1020433
  • Facility Name: LAKEVILLE FAMILY MEDICINE
  • Facility Address: 5989 BIG TREE ROAD SUITE A
    LAKEVILLE, NY
    ZIP 14480
  • Facility Phone: 585 346-4460
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD S. AGUIRRE MD
  • NPI Number: 1710992151
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1020433
LAB Type Physician Office
Facility Name LAKEVILLE FAMILY MEDICINE
Street 5989 BIG TREE ROAD SUITE A
City LAKEVILLE
State NY
ZIP 14480
Phone 585 346-4460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Physician Office
Lab Director RICHARD S. AGUIRRE MD

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