33D1097118 CLIA NUMBER - ST JOSEPH'S HEALTH VASCULAR ACCESS CENTER

Laboratory Demographics

  • CLIA Code: 33D1097118
  • Facility Name: ST JOSEPH'S HEALTH VASCULAR ACCESS CENTER
  • Facility Address: 104 UNION AVE - SUITE 1008
    SYRACUSE, NY
    ZIP 13203
  • Facility Phone: 315 424-7524
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. MUHAMMAD A. KHAN
  • NPI Number: 1669547915
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D1097118
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ST JOSEPH'S HEALTH VASCULAR ACCESS CENTER
Street 104 UNION AVE - SUITE 1008
City SYRACUSE
State NY
ZIP 13203
Phone 315 424-7524
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2022
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. MUHAMMAD A. KHAN

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This page was last updated on: 6/4/2025