33D1105602 CLIA NUMBER - CROUSE MEDICAL PRACTICE PLLC DBA CROUSE HEALTH MATERNAL AND FETAL MEDICINE

Laboratory Demographics

  • CLIA Code: 33D1105602
  • Facility Name: CROUSE MEDICAL PRACTICE PLLC DBA CROUSE HEALTH MATERNAL AND FETAL MEDICINE
  • Facility Address: 475 IRVING AVE - SUITE 406
    SYRACUSE, NY
    ZIP 13210
  • Facility Phone: 315 766-1613
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ROBERT K. SILVERMAN
  • NPI Number: 1033284708
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 33D1105602
LAB Type Physician Office
Facility Name CROUSE MEDICAL PRACTICE PLLC DBA CROUSE HEALTH MATERNAL AND FETAL MEDICINE
Street 475 IRVING AVE - SUITE 406
City SYRACUSE
State NY
ZIP 13210
Phone 315 766-1613
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. ROBERT K. SILVERMAN

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