33D2182940 CLIA NUMBER - AMERICAN MOBILE DENTAL PC

Laboratory Demographics

  • CLIA Code: 33D2182940
  • Facility Name: AMERICAN MOBILE DENTAL PC
  • Facility Address: 8 GRANT ST
    ONEONTA, NY
    ZIP 13820
  • Facility Phone: 607 432-1010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHARLES D. RANDOLPH
  • NPI Number: 1922358761
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 33D2182940
LAB Type Physician Office
Facility Name AMERICAN MOBILE DENTAL PC
Street 8 GRANT ST
City ONEONTA
State NY
ZIP 13820
Phone 607 432-1010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Physician Office
Lab Director DR. CHARLES D. RANDOLPH

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