33D2085665 CLIA NUMBER - GREATER ROCHESTER NEUROLOGICAL ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 33D2085665
  • Facility Name: GREATER ROCHESTER NEUROLOGICAL ASSOCIATES PC
  • Facility Address: 2101 LAC DEVILLE BOULEVARD, SUITE # 1
    ROCHESTER, NY
    ZIP 14618
  • Facility Phone: 585 546-3265
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALLEN D. PETTEE
  • NPI Number: 1902852908
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 33D2085665
LAB Type Physician Office
Facility Name GREATER ROCHESTER NEUROLOGICAL ASSOCIATES PC
Street 2101 LAC DEVILLE BOULEVARD, SUITE # 1
City ROCHESTER
State NY
ZIP 14618
Phone 585 546-3265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Physician Office
Lab Director DR. ALLEN D. PETTEE

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This page was last updated on: 6/4/2025