33D2263309 CLIA NUMBER - KATHLEEN GARDNER MD

Laboratory Demographics

  • CLIA Code: 33D2263309
  • Facility Name: KATHLEEN GARDNER MD
  • Facility Address: 4 CHURCH ST
    CORTLAND, NY
    ZIP 13045
  • Facility Phone: 607 273-8597
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHLEEN GARNDER
  • NPI Number: 1740286608
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 33D2263309
LAB Type Physician Office
Facility Name KATHLEEN GARDNER MD
Street 4 CHURCH ST
City CORTLAND
State NY
ZIP 13045
Phone 607 273-8597
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 KATHLEEN GARNDER

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