33D2111757 CLIA NUMBER - MOSAIC HEALTH ILION

Laboratory Demographics

  • CLIA Code: 33D2111757
  • Facility Name: MOSAIC HEALTH ILION
  • Facility Address: 55 CENTRAL PLAZA - SUITE B
    ILION, NY
    ZIP 13357
  • Facility Phone: 315 444-1900
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. CYNTHIA L. JONES
  • NPI Number: 1528428208
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2111757
LAB Type Federally Qualified Health Center
Facility Name MOSAIC HEALTH ILION
Street 55 CENTRAL PLAZA - SUITE B
City ILION
State NY
ZIP 13357
Phone 315 444-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2016
Certificate Expiration Date 3/26/2027
Facility Type Federally Qualified Health Center
Lab Director DR. CYNTHIA L. JONES

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