33D2224689 CLIA NUMBER - ST JOSEPH'S HEALTH EHO

Laboratory Demographics

CLIA Number: 33D2224689

Facility Name: ST JOSEPH'S HEALTH EHO

Facility Address:
201 PROSPECT AVE
SYRACUSE, NY
ZIP 13203
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Facility Phone Number: 315 448-5581

Facility Type: Other - EMPLOYEE HEALTH OFFICE

Certificate Type: Waiver

NPI Number: 1265462386

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2224689
LAB Type	Other - EMPLOYEE HEALTH OFFICE
Facility Name	ST JOSEPH'S HEALTH EHO
Street	201 PROSPECT AVE
City	SYRACUSE
State	NY
ZIP	13203
Phone	315 448-5581
CertificateType	4
CertificateEffectiveDate	5/14/2021
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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