33D2152387 CLIA NUMBER - WAYNE BEHAVIORAL HEALTH NETWORK

Laboratory Demographics

  • CLIA Code: 33D2152387
  • Facility Name: WAYNE BEHAVIORAL HEALTH NETWORK
  • Facility Address: 1519 NYE ROAD
    LYONS, NY
    ZIP 14489
  • Facility Phone: 315 946-5722
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. IUSTINIAN RUSU
  • NPI Number: 1003824855
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2152387
LAB Type Community Clinic
Facility Name WAYNE BEHAVIORAL HEALTH NETWORK
Street 1519 NYE ROAD
City LYONS
State NY
ZIP 14489
Phone 315 946-5722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2018
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. IUSTINIAN RUSU

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