33D2079099 CLIA NUMBER - BAE SYSTEMS - ENDICOTT

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Laboratory Demographics

CLIA Number: 33D2079099

Facility Name: BAE SYSTEMS - ENDICOTT

Facility Address:
1098 CLARK STREET
ENDICOTT, NY
ZIP 13760
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Facility Phone Number: 212 572-6800

Facility Type: Industrial

Certificate Type: Waiver

NPI Number: 1629661889

Taxonomy: 261QX0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2079099
LAB Type	Industrial
Facility Name	BAE SYSTEMS - ENDICOTT
Street	1098 CLARK STREET
City	ENDICOTT
State	NY
ZIP	13760
Phone	212 572-6800
CertificateType	4
CertificateEffectiveDate	6/10/2014
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024