33D1061235 CLIA NUMBER - ERROL S MCKENZIE MD PLLC DBA / FAMILY MEDICINE ASSOCIATES OF FAYETTEVILLE

Laboratory Demographics

  • CLIA Code: 33D1061235
  • Facility Name: ERROL S MCKENZIE MD PLLC DBA / FAMILY MEDICINE ASSOCIATES OF FAYETTEVILLE
  • Facility Address: 212 HIGHBRIDGE STREET, SUITE C
    FAYETTEVILLE, NY
    ZIP 13066
  • Facility Phone: (315) 637-0477
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ERROL S. MCKENZIE
  • NPI Number: 1023322286
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1061235
LAB Type Physician Office
Facility Name ERROL S MCKENZIE MD PLLC DBA / FAMILY MEDICINE ASSOCIATES OF FAYETTEVILLE
Street 212 HIGHBRIDGE STREET, SUITE C
City FAYETTEVILLE
State NY
ZIP 13066
Phone 3156370477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director DR. ERROL S. MCKENZIE

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This page was last updated on: 6/29/2026