33D2149313 CLIA NUMBER - TRI VALLEY FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 33D2149313
  • Facility Name: TRI VALLEY FAMILY MEDICINE
  • Facility Address: 7137 MT PLEASANT RD
    CANASTOTA, NY
    ZIP 13032
  • Facility Phone: 315 697-2033
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. HARRY E. CAPONE
  • NPI Number: 1184142697
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2149313
LAB Type Ancillary Testing Site in Health Care Center
Facility Name TRI VALLEY FAMILY MEDICINE
Street 7137 MT PLEASANT RD
City CANASTOTA
State NY
ZIP 13032
Phone 315 697-2033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2020
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. HARRY E. CAPONE

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