33D2158000 CLIA NUMBER - THE WILLIAM GEORGE AGENCY - CHEMICAL DEPENDENCY PROGRAM

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CLIA Record

Field Name Field Value
CLIA Number 33D2158000
LAB Type Comp. Outpatient Rehab Facility
Facility Name THE WILLIAM GEORGE AGENCY - CHEMICAL DEPENDENCY PROGRAM
Street 380 FREEVILLE RD
City FREEVILLE
State NY
ZIP 13068
Phone 607 844-6490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2018
Certificate Expiration Date 3/26/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. WILLIAM C. SHEPARD

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