33D2184860 CLIA NUMBER - HOMETOWN DENTAL GROUP

Laboratory Demographics

  • CLIA Code: 33D2184860
  • Facility Name: HOMETOWN DENTAL GROUP
  • Facility Address: 34 BUCKMAN RD
    ROCHESTER, NY
    ZIP 14615
  • Facility Phone: 585 227-4390
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PAUL I. SUSSMAN
  • NPI Number: 1780850750
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2184860
LAB Type Physician Office
Facility Name HOMETOWN DENTAL GROUP
Street 34 BUCKMAN RD
City ROCHESTER
State NY
ZIP 14615
Phone 585 227-4390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Physician Office
Lab Director DR. PAUL I. SUSSMAN

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