33D2132068 CLIA NUMBER - JOSEPH A DEPRA, PHYSICIAN, PLLC

Laboratory Demographics

  • CLIA Code: 33D2132068
  • Facility Name: JOSEPH A DEPRA, PHYSICIAN, PLLC
  • Facility Address: 300 CIVIC CENTER PLAZA - STE 230
    CORNING, NY
    ZIP 14830
  • Facility Phone: 607 936-3100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH A. DEPRA
  • NPI Number: 1508419052
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 33D2132068
LAB Type Physician Office
Facility Name JOSEPH A DEPRA, PHYSICIAN, PLLC
Street 300 CIVIC CENTER PLAZA - STE 230
City CORNING
State NY
ZIP 14830
Phone 607 936-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Physician Office
Lab Director DR. JOSEPH A. DEPRA

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