33D2124505 CLIA NUMBER - GUTHRIE MEDICAL GROUP DERMATOPATHOLOGY LABORATORY

Laboratory Demographics

  • CLIA Code: 33D2124505
  • Facility Name: GUTHRIE MEDICAL GROUP DERMATOPATHOLOGY LABORATORY
  • Facility Address: 130 CENTERWAY
    CORNING, NY
    ZIP 14830
  • Facility Phone: 607 973-8392
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Certificate of Compliance
  • Lab Director: JAVAD BEHESHTI SHIRAZI
  • NPI Number: 1326230046
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 33D2124505
LAB Type Ancillary Testing Site in Health Care Center
Facility Name GUTHRIE MEDICAL GROUP DERMATOPATHOLOGY LABORATORY
Street 130 CENTERWAY
City CORNING
State NY
ZIP 14830
Phone 607 973-8392
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/19/2017
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JAVAD BEHESHTI SHIRAZI

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