33D1046916 CLIA NUMBER - COPENHAGEN HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 33D1046916
  • Facility Name: COPENHAGEN HEALTH CENTER
  • Facility Address: 9732 STATE ROUTE 12
    COPENHAGEN, NY
    ZIP 13626
  • Facility Phone: 315 688-2305
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: LACI REILLY
  • NPI Number: 1316003023
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 33D1046916
LAB Type Ancillary Testing Site in Health Care Center
Facility Name COPENHAGEN HEALTH CENTER
Street 9732 STATE ROUTE 12
City COPENHAGEN
State NY
ZIP 13626
Phone 315 688-2305
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2013
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director LACI REILLY

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