33D2170938 CLIA NUMBER - WILLIAM GEORGE AGENCY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 33D2170938
  • Facility Name: WILLIAM GEORGE AGENCY MEDICAL CLINIC
  • Facility Address: 380 FREEVILLE RD
    FREEVILLE, NY
    ZIP 13068
  • Facility Phone: 607 844-6336
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM C. SHEPHERD
  • NPI Number: 1932568755
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2170938
LAB Type Comp. Outpatient Rehab Facility
Facility Name WILLIAM GEORGE AGENCY MEDICAL CLINIC
Street 380 FREEVILLE RD
City FREEVILLE
State NY
ZIP 13068
Phone 607 844-6336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2019
Certificate Expiration Date 3/26/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. WILLIAM C. SHEPHERD

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