33D2051649 CLIA NUMBER - OSWEGO COUNTY OB-GYN, PC

Laboratory Demographics

  • CLIA Code: 33D2051649
  • Facility Name: OSWEGO COUNTY OB-GYN, PC
  • Facility Address: 820 PHILLIPS STREET
    FULTON, NY
    ZIP 13069
  • Facility Phone: 315 343-8393
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. RAJ K. MAHAJAN
  • NPI Number: 1740396324
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2051649
LAB Type Physician Office
Facility Name OSWEGO COUNTY OB-GYN, PC
Street 820 PHILLIPS STREET
City FULTON
State NY
ZIP 13069
Phone 315 343-8393
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 12/24/2024
Certificate Expiration Date 12/23/2026
Facility Type Physician Office
Lab Director DR. RAJ K. MAHAJAN

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