33D2271101 CLIA NUMBER - EMPIRE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 33D2271101
  • Facility Name: EMPIRE DERMATOLOGY
  • Facility Address: 301 GENESEE STREET SUITE F
    ONEIDA, NY
    ZIP 13421
  • Facility Phone: 315 500-7546
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRIAN A. RAPHAEL
  • NPI Number: 1336698406
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D2271101
LAB Type Physician Office
Facility Name EMPIRE DERMATOLOGY
Street 301 GENESEE STREET SUITE F
City ONEIDA
State NY
ZIP 13421
Phone 315 500-7546
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Physician Office
Lab Director BRIAN A. RAPHAEL

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