33D2286036 CLIA NUMBER - MONROE MEDICAL PRACTICE PC DBA PERSONAL MEDICINE OF ROCHESTER

Laboratory Demographics

  • CLIA Code: 33D2286036
  • Facility Name: MONROE MEDICAL PRACTICE PC DBA PERSONAL MEDICINE OF ROCHESTER
  • Facility Address: 2109 SOUTH CLINTON AVENUE SUITE 200
    ROCHESTER, NY
    ZIP 14618
  • Facility Phone: 585 385-3372
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL A. MENDELSON
  • NPI Number: 1861183220
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2286036
LAB Type Physician Office
Facility Name MONROE MEDICAL PRACTICE PC DBA PERSONAL MEDICINE OF ROCHESTER
Street 2109 SOUTH CLINTON AVENUE SUITE 200
City ROCHESTER
State NY
ZIP 14618
Phone 585 385-3372
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Physician Office
Lab Director DR. DANIEL A. MENDELSON

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