33D2015733 CLIA NUMBER - OSWEGO VA PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 33D2015733
  • Facility Name: OSWEGO VA PRIMARY CARE
  • Facility Address: 437 STATE RTE 104E
    OSWEGO, NY
    ZIP 13126
  • Facility Phone: 315 207-0120
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. CHERYL MATTERN
  • NPI Number: 1104864743
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2015733
LAB Type Community Clinic
Facility Name OSWEGO VA PRIMARY CARE
Street 437 STATE RTE 104E
City OSWEGO
State NY
ZIP 13126
Phone 315 207-0120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2010
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. CHERYL MATTERN

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