33D2266033 CLIA NUMBER - EDEN PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 33D2266033
  • Facility Name: EDEN PRIMARY CARE
  • Facility Address: 8274 N MAIN STREET
    EDEN, NY
    ZIP 14057
  • Facility Phone: 716 575-7282
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIDGID D. OGORMAN
  • NPI Number: 1154071934
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2266033
LAB Type Physician Office
Facility Name EDEN PRIMARY CARE
Street 8274 N MAIN STREET
City EDEN
State NY
ZIP 14057
Phone 716 575-7282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Physician Office
Lab Director BRIDGID D. OGORMAN

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This page was last updated on: 3/20/2025