33D2245300 CLIA NUMBER - MARY FRIEL MD

Laboratory Demographics

  • CLIA Code: 33D2245300
  • Facility Name: MARY FRIEL MD
  • Facility Address: 295 ROUTE 304
    BARDONIA, NY
    ZIP 10954
  • Facility Phone: 845 613-7919
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARY BETH E. FRIEL
  • NPI Number: 1578981791
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2245300
LAB Type Physician Office
Facility Name MARY FRIEL MD
Street 295 ROUTE 304
City BARDONIA
State NY
ZIP 10954
Phone 845 613-7919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Physician Office
Lab Director DR. MARY BETH E. FRIEL

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