33D1062058 CLIA NUMBER - MOSAIC HEALTH RUSHVILLE

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Laboratory Demographics

CLIA Number: 33D1062058

Facility Name: MOSAIC HEALTH RUSHVILLE

Facility Address:
2 RUBIN DRIVE
RUSHVILLE, NY
ZIP 14544
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Facility Phone Number: 585 554-4400

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1912225236

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D1062058
LAB Type	Rural Health Clinic
Facility Name	MOSAIC HEALTH RUSHVILLE
Street	2 RUBIN DRIVE
City	RUSHVILLE
State	NY
ZIP	14544
Phone	585 554-4400
CertificateType	4
CertificateEffectiveDate	10/15/2018
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024