33D2109115 CLIA NUMBER - BASSETT ONEIDA HEALTH CENTER

Laboratory Demographics

CLIA Number: 33D2109115

Facility Name: BASSETT ONEIDA HEALTH CENTER

Facility Address:
2031 DREAM CATCHER PLAZA
ONEIDA, NY
ZIP 13421
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Facility Phone Number: 315 231-5400

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1790157303

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	33D2109115
LAB Type	Community Clinic
Facility Name	BASSETT ONEIDA HEALTH CENTER
Street	2031 DREAM CATCHER PLAZA
City	ONEIDA
State	NY
ZIP	13421
Phone	315 231-5400
CertificateType	4
CertificateEffectiveDate	2/22/2018
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024