33D2237545 CLIA NUMBER - TRI-COUNTY FAMILY MEDICINE PROGRAM

Laboratory Demographics

  • CLIA Code: 33D2237545
  • Facility Name: TRI-COUNTY FAMILY MEDICINE PROGRAM
  • Facility Address: 12 N CHURCH ST
    CANASERAGA, NY
    ZIP 14822
  • Facility Phone: 607 545-2111
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. GEOFFREY G. WITTIG
  • NPI Number: 1649474701
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2237545
LAB Type Federally Qualified Health Center
Facility Name TRI-COUNTY FAMILY MEDICINE PROGRAM
Street 12 N CHURCH ST
City CANASERAGA
State NY
ZIP 14822
Phone 607 545-2111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2021
Certificate Expiration Date 3/26/2027
Facility Type Federally Qualified Health Center
Lab Director DR. GEOFFREY G. WITTIG

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