33D1035565 CLIA NUMBER - SYRACUSE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D1035565
  • Facility Name: SYRACUSE PEDIATRICS
  • Facility Address: 3175 EAST GENESEE STREET, SUITE 5
    SYRACUSE, NY
    ZIP 13224
  • Facility Phone: 315 251-2612
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MONICA P. JONES
  • NPI Number: 1720188626
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D1035565
LAB Type Physician Office
Facility Name SYRACUSE PEDIATRICS
Street 3175 EAST GENESEE STREET, SUITE 5
City SYRACUSE
State NY
ZIP 13224
Phone 315 251-2612
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Physician Office
Lab Director MONICA P. JONES

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