33D2237191 CLIA NUMBER - HENRIETTA PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 33D2237191
  • Facility Name: HENRIETTA PEDIATRICS PLLC
  • Facility Address: 1200 JEFFERSON ROAD SUITE 115
    ROCHESTER, NY
    ZIP 14623
  • Facility Phone: 585 601-2600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EMILIE A. ELLICOTT
  • NPI Number: 1912576034
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2237191
LAB Type Physician Office
Facility Name HENRIETTA PEDIATRICS PLLC
Street 1200 JEFFERSON ROAD SUITE 115
City ROCHESTER
State NY
ZIP 14623
Phone 585 601-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Physician Office
Lab Director DR. EMILIE A. ELLICOTT

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