33D2263293 CLIA NUMBER - JENNIFER LACLAIR FNP-C

Laboratory Demographics

  • CLIA Code: 33D2263293
  • Facility Name: JENNIFER LACLAIR FNP-C
  • Facility Address: 21017 NYS RT 12F
    WATERTOWN, NY
    ZIP 13601
  • Facility Phone: 315 788-8701
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER LACLAIR
  • NPI Number: 1851367403
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 33D2263293
LAB Type Physician Office
Facility Name JENNIFER LACLAIR FNP-C
Street 21017 NYS RT 12F
City WATERTOWN
State NY
ZIP 13601
Phone 315 788-8701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Physician Office
Lab Director JENNIFER LACLAIR

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