33D2197825 CLIA NUMBER - ROBERTS WESLEYAN WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 33D2197825
  • Facility Name: ROBERTS WESLEYAN WELLNESS CENTER
  • Facility Address: 2301 WESTSIDE DR - VOLLER ATHLETIC CTR SUITE 231
    ROCHESTER, NY
    ZIP 14624
  • Facility Phone: 585 594-6360
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DR. CHARLES N. IPPOLITO
  • NPI Number: 1922248558
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2197825
LAB Type School/Student Health Service
Facility Name ROBERTS WESLEYAN WELLNESS CENTER
Street 2301 WESTSIDE DR - VOLLER ATHLETIC CTR SUITE 231
City ROCHESTER
State NY
ZIP 14624
Phone 585 594-6360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2020
Certificate Expiration Date 3/26/2027
Facility Type School/Student Health Service
Lab Director DR. CHARLES N. IPPOLITO

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