33D1076901 CLIA NUMBER - WELLSVILLE CBOC

Laboratory Demographics

  • CLIA Code: 33D1076901
  • Facility Name: WELLSVILLE CBOC
  • Facility Address: 3458 RIVERSIDE DR ROUTE 19
    WELLSVILLE, NY
    ZIP 14895
  • Facility Phone: 607 664-4660
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: PAUL GOSINK
  • NPI Number: 1790842771
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 33D1076901
LAB Type Community Clinic
Facility Name WELLSVILLE CBOC
Street 3458 RIVERSIDE DR ROUTE 19
City WELLSVILLE
State NY
ZIP 14895
Phone 607 664-4660
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/26/2010
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director PAUL GOSINK

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