33D2082371 CLIA NUMBER - JILL M LAUREANO-SURBER, DO PC DBA FAMILY MEDICINE OF NORTHERN NEW YORK

Laboratory Demographics

  • CLIA Code: 33D2082371
  • Facility Name: JILL M LAUREANO-SURBER, DO PC DBA FAMILY MEDICINE OF NORTHERN NEW YORK
  • Facility Address: 20053 SUMMIT VIEW BLVD - STE 1
    WATERTOWN, NY
    ZIP 13601
  • Facility Phone: 315 755-2560
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JILL M. LAUREANO-SURBER
  • NPI Number: 1437443132
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2082371
LAB Type Physician Office
Facility Name JILL M LAUREANO-SURBER, DO PC DBA FAMILY MEDICINE OF NORTHERN NEW YORK
Street 20053 SUMMIT VIEW BLVD - STE 1
City WATERTOWN
State NY
ZIP 13601
Phone 315 755-2560
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 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Physician Office
Lab Director DR. JILL M. LAUREANO-SURBER

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