33D2088846 CLIA NUMBER - EASTSIDE PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 33D2088846
  • Facility Name: EASTSIDE PEDIATRICS, PLLC
  • Facility Address: 650 WHITNEY RD - SUITE P
    FAIRPORT, NY
    ZIP 14450
  • Facility Phone: 585 310-7425
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOANNE P. CORDARO
  • NPI Number: 1730580036
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2088846
LAB Type Physician Office
Facility Name EASTSIDE PEDIATRICS, PLLC
Street 650 WHITNEY RD - SUITE P
City FAIRPORT
State NY
ZIP 14450
Phone 585 310-7425
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Physician Office
Lab Director DR. JOANNE P. CORDARO

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