33D2158030 CLIA NUMBER - TIOGA COUNTY COMMUNITY SERVICES BOARD ALCOHOL AND DRUG SERVICES

Laboratory Demographics

  • CLIA Code: 33D2158030
  • Facility Name: TIOGA COUNTY COMMUNITY SERVICES BOARD ALCOHOL AND DRUG SERVICES
  • Facility Address: 1062 STATE RTE 38
    OWEGO, NY
    ZIP 13827
  • Facility Phone: (607) 687-4000
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DR. JOHN BEZIRGANIAN
  • NPI Number: 1063562841
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 33D2158030
LAB Type Comp. Outpatient Rehab Facility
Facility Name TIOGA COUNTY COMMUNITY SERVICES BOARD ALCOHOL AND DRUG SERVICES
Street 1062 STATE RTE 38
City OWEGO
State NY
ZIP 13827
Phone 6076874000
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. JOHN BEZIRGANIAN

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This page was last updated on: 5/18/2026