33D1055333 CLIA NUMBER - SCHOOLHOUSE PEDIATRICS SOUTH

Laboratory Demographics

  • CLIA Code: 33D1055333
  • Facility Name: SCHOOLHOUSE PEDIATRICS SOUTH
  • Facility Address: 270 MANSION ST SUITE 3
    COXSACKIE, NY
    ZIP 12051
  • Facility Phone: 518 731-3800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN BEVILACQUA DO
  • NPI Number: 1932475951
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D1055333
LAB Type Physician Office
Facility Name SCHOOLHOUSE PEDIATRICS SOUTH
Street 270 MANSION ST SUITE 3
City COXSACKIE
State NY
ZIP 12051
Phone 518 731-3800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Physician Office
Lab Director JOHN BEVILACQUA DO

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