33D2204540 CLIA NUMBER - COPE AND FEDULLO MEDICAL SERVICES PLLC

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Laboratory Demographics

CLIA Number: 33D2204540

Facility Name: COPE AND FEDULLO MEDICAL SERVICES PLLC

Facility Address:
1728 STATE HWY 29 SUITE 1
GLOVERSVILLE, NY
ZIP 12078
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Facility Phone Number: 518 669-1439

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1316535727

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	33D2204540
LAB Type	Physician Office
Facility Name	COPE AND FEDULLO MEDICAL SERVICES PLLC
Street	1728 STATE HWY 29 SUITE 1
City	GLOVERSVILLE
State	NY
ZIP	12078
Phone	518 669-1439
CertificateType	4
CertificateEffectiveDate	12/9/2022
CertificateExpirationDate	12/8/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024