33D2261450 CLIA NUMBER - WATERTOWN VA CLINIC

Laboratory Demographics

  • CLIA Code: 33D2261450
  • Facility Name: WATERTOWN VA CLINIC
  • Facility Address: 1222 ARSENAL ST - SUITE 10A
    WATERTOWN, NY
    ZIP 13601
  • Facility Phone: 315 221-7026
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. EDWIN L. MARSHALL
  • NPI Number: 1043552854
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2261450
LAB Type Ancillary Testing Site in Health Care Center
Facility Name WATERTOWN VA CLINIC
Street 1222 ARSENAL ST - SUITE 10A
City WATERTOWN
State NY
ZIP 13601
Phone 315 221-7026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2022
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. EDWIN L. MARSHALL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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