33D1043448 CLIA NUMBER - CARMEN BAUTISTA-DATOR MD

Laboratory Demographics

  • CLIA Code: 33D1043448
  • Facility Name: CARMEN BAUTISTA-DATOR MD
  • Facility Address: 177 WEST 4TH STREET
    OSWEGO, NY
    ZIP 13126
  • Facility Phone: 315 343-2151
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARMEN BAUTISTA-DATOR MD
  • NPI Number: 1346267291
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D1043448
LAB Type Physician Office
Facility Name CARMEN BAUTISTA-DATOR MD
Street 177 WEST 4TH STREET
City OSWEGO
State NY
ZIP 13126
Phone 315 343-2151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Physician Office
Lab Director CARMEN BAUTISTA-DATOR MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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