33D2033394 CLIA NUMBER - LIBERTY RESOURCES INTEGRATED HEALTHCARE

Laboratory Demographics

  • CLIA Code: 33D2033394
  • Facility Name: LIBERTY RESOURCES INTEGRATED HEALTHCARE
  • Facility Address: 1045 JAMES ST - SUITE 200
    SYRACUSE, NY
    ZIP 13203
  • Facility Phone: (315) 472-4471
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. SANDEEP R. BHASHYAM
  • NPI Number: 1306007158
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2033394
LAB Type Community Clinic
Facility Name LIBERTY RESOURCES INTEGRATED HEALTHCARE
Street 1045 JAMES ST - SUITE 200
City SYRACUSE
State NY
ZIP 13203
Phone 3154724471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2011
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. SANDEEP R. BHASHYAM

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This page was last updated on: 5/18/2026