33D1079833 CLIA NUMBER - DIGESTIVE DISEASE CENTER OF CENTRAL NEW YORK LLC

Laboratory Demographics

CLIA Number: 33D1079833

Facility Name: DIGESTIVE DISEASE CENTER OF CENTRAL NEW YORK LLC

Facility Address:
5112 W TAFT RD - SUITE E
LIVERPOOL, NY
ZIP 13088
Get Directions

Facility Phone Number: 315 452-3235

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1053505511

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D1079833
LAB Type	Ambulatory Surgery Center
Facility Name	DIGESTIVE DISEASE CENTER OF CENTRAL NEW YORK LLC
Street	5112 W TAFT RD - SUITE E
City	LIVERPOOL
State	NY
ZIP	13088
Phone	315 452-3235
CertificateType	4
CertificateEffectiveDate	2/7/2008
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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