33D2169558 CLIA NUMBER - CAYUGA ADDICTION RECOVERY SERVICES RESIDENTIAL PROGRAM

Laboratory Demographics

  • CLIA Code: 33D2169558
  • Facility Name: CAYUGA ADDICTION RECOVERY SERVICES RESIDENTIAL PROGRAM
  • Facility Address: 6621 RTE 227
    TRUMANSBURG, NY
    ZIP 14886
  • Facility Phone: 607 273-5500
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DR. JOHNPAUL D. MEAD
  • NPI Number: 1043686314
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 33D2169558
LAB Type Comp. Outpatient Rehab Facility
Facility Name CAYUGA ADDICTION RECOVERY SERVICES RESIDENTIAL PROGRAM
Street 6621 RTE 227
City TRUMANSBURG
State NY
ZIP 14886
Phone 607 273-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2019
Certificate Expiration Date 3/26/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. JOHNPAUL D. MEAD

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