33D1048705 CLIA NUMBER - PILLAR MEDICAL ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 33D1048705
  • Facility Name: PILLAR MEDICAL ASSOCIATES PC
  • Facility Address: 1500 PORTLAND AVENUE
    ROCHESTER, NY
    ZIP 14621
  • Facility Phone: 585 697-6416
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN HEPPARD
  • NPI Number: 1437237559
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1048705
LAB Type Community Clinic
Facility Name PILLAR MEDICAL ASSOCIATES PC
Street 1500 PORTLAND AVENUE
City ROCHESTER
State NY
ZIP 14621
Phone 585 697-6416
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2005
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. BRIAN HEPPARD

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