33D2091475 CLIA NUMBER - GUTHRIE CORTLAND - RENZI HEALTH CAMPUS

Laboratory Demographics

  • CLIA Code: 33D2091475
  • Facility Name: GUTHRIE CORTLAND - RENZI HEALTH CAMPUS
  • Facility Address: 4057 WEST RD
    CORTLAND, NY
    ZIP 13045
  • Facility Phone: 607 753-9977
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. PHILIP A. HEAVNER
  • NPI Number: 1457115859
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2091475
LAB Type Ancillary Testing Site in Health Care Center
Facility Name GUTHRIE CORTLAND - RENZI HEALTH CAMPUS
Street 4057 WEST RD
City CORTLAND
State NY
ZIP 13045
Phone 607 753-9977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. PHILIP A. HEAVNER

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