33D2007196 CLIA NUMBER - BORG & IDE IMAGING PC

Laboratory Demographics

  • CLIA Code: 33D2007196
  • Facility Name: BORG & IDE IMAGING PC
  • Facility Address: 995 SENATOR KEATING BLVD
    ROCHESTER, NY
    ZIP 14618
  • Facility Phone: 585 241-6600
  • Facility Type: Other - IMAGING CENTER
  • Facility Type: Waiver
  • Lab Director: DR. JANE BENNETT
  • NPI Number: 1194714402
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 33D2007196
LAB Type Other - IMAGING CENTER
Facility Name BORG & IDE IMAGING PC
Street 995 SENATOR KEATING BLVD
City ROCHESTER
State NY
ZIP 14618
Phone 585 241-6600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2010
Certificate Expiration Date 3/26/2027
Facility Type Other - IMAGING CENTER
Lab Director DR. JANE BENNETT

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