33D2017700 CLIA NUMBER - JOSEPH A DEPRA, PHYSICIAN, PLLC

Laboratory Demographics

  • CLIA Code: 33D2017700
  • Facility Name: JOSEPH A DEPRA, PHYSICIAN, PLLC
  • Facility Address: 22 LIBERTY STREET
    BATH, NY
    ZIP 14810
  • Facility Phone: 607 776-8004
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH A. DEPRA
  • NPI Number: 1396075941
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 33D2017700
LAB Type Physician Office
Facility Name JOSEPH A DEPRA, PHYSICIAN, PLLC
Street 22 LIBERTY STREET
City BATH
State NY
ZIP 14810
Phone 607 776-8004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Physician Office
Lab Director DR. JOSEPH A. DEPRA

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