33D2265059 CLIA NUMBER - UPSTATE CEREBRAL PALSY INC COMMUNITY HEALTH AND BEHAVIORAL SERVICES

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CLIA Record

Field Name Field Value
CLIA Number 33D2265059
LAB Type Community Clinic
Facility Name UPSTATE CEREBRAL PALSY INC COMMUNITY HEALTH AND BEHAVIORAL SERVICES
Street 1002 OSWEGO ST
City UTICA
State NY
ZIP 13502
Phone 315 798-8868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2022
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. MINHAJ SIDDIQI

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