33D2096491 CLIA NUMBER - TRI-COUNTY FAMILY MEDICINE PROGRAM, INC

Laboratory Demographics

  • CLIA Code: 33D2096491
  • Facility Name: TRI-COUNTY FAMILY MEDICINE PROGRAM, INC
  • Facility Address: 200 N MAIN STREET
    WAYLAND, NY
    ZIP 14572
  • Facility Phone: 585 728-5131
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH DEPRA
  • NPI Number: 1215131586
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2096491
LAB Type Rural Health Clinic
Facility Name TRI-COUNTY FAMILY MEDICINE PROGRAM, INC
Street 200 N MAIN STREET
City WAYLAND
State NY
ZIP 14572
Phone 585 728-5131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2015
Certificate Expiration Date 3/26/2027
Facility Type Rural Health Clinic
Lab Director DR. JOSEPH DEPRA

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