33D2052065 CLIA NUMBER - OATKA FAMILY MEDICINE, PC

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Laboratory Demographics

CLIA Number: 33D2052065

Facility Name: OATKA FAMILY MEDICINE, PC

Facility Address:
5762 EAST MAIN STREET ROAD
BATAVIA, NY
ZIP 14020
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Facility Phone Number: (585) 201-7055

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1609111251

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2052065
LAB Type	PHYSICIAN OFFICE
Facility Name	OATKA FAMILY MEDICINE, PC
Street	5762 EAST MAIN STREET ROAD
City	BATAVIA
State	NY
ZIP	14020
Phone	(585) 201-7055

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This page was last updated on: 5/11/2023