33D2060407 CLIA NUMBER - TULLY HILL CORPORATION

Laboratory Demographics

  • CLIA Code: 33D2060407
  • Facility Name: TULLY HILL CORPORATION
  • Facility Address: 5821 RTE 80
    TULLY, NY
    ZIP 13159
  • Facility Phone: 315 696-6114
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Microscopy
  • Lab Director: DR. GREGORY T. SERFER
  • NPI Number: 1629135512
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2060407
LAB Type Ancillary Testing Site in Health Care Center
Facility Name TULLY HILL CORPORATION
Street 5821 RTE 80
City TULLY
State NY
ZIP 13159
Phone 315 696-6114
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 6/11/2013
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. GREGORY T. SERFER

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