33D1079083 CLIA NUMBER - ENDOSCOPY CENTER OF CENTRAL NEW YORK

Laboratory Demographics

  • CLIA Code: 33D1079083
  • Facility Name: ENDOSCOPY CENTER OF CENTRAL NEW YORK
  • Facility Address: 4308 MEDICAL CENTER DRIVE
    FAYETTEVILLE, NY
    ZIP 13066
  • Facility Phone: 315 329-7301
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. RAYEES NIZAM
  • NPI Number: 1801196050
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1079083
LAB Type Ambulatory Surgery Center
Facility Name ENDOSCOPY CENTER OF CENTRAL NEW YORK
Street 4308 MEDICAL CENTER DRIVE
City FAYETTEVILLE
State NY
ZIP 13066
Phone 315 329-7301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2008
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. RAYEES NIZAM

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