33D1075202 CLIA NUMBER - CNY FACIAL SURGERY GROUP PC

Laboratory Demographics

  • CLIA Code: 33D1075202
  • Facility Name: CNY FACIAL SURGERY GROUP PC
  • Facility Address: 4939 BRITTONFIELD PARKWAY BUILDING B SUITE 210
    EAST SYRACUSE, NY
    ZIP 13057
  • Facility Phone: 315 471-8404
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SANG W. KIM
  • NPI Number: 1831297183
  • Taxonomy: 207YX0007X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 33D1075202
LAB Type Physician Office
Facility Name CNY FACIAL SURGERY GROUP PC
Street 4939 BRITTONFIELD PARKWAY BUILDING B SUITE 210
City EAST SYRACUSE
State NY
ZIP 13057
Phone 315 471-8404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Physician Office
Lab Director DR. SANG W. KIM

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