33D2287651 CLIA NUMBER - PEDIATRIC NOW MEDICAL CARE PLLC

Laboratory Demographics

CLIA Code: 33D2287651
Facility Name: PEDIATRIC NOW MEDICAL CARE PLLC
Facility Address: 5100 W TAFT RD SUITE 1B
LIVERPOOL, NY
ZIP 13088
Facility Phone: 315 299-4232
Facility Type: Physician Office
Facility Type: Waiver
Lab Director: DR. NICOLE A. MIRJAFARI
NPI Number: 1154106482
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	33D2287651
LAB Type	Physician Office
Facility Name	PEDIATRIC NOW MEDICAL CARE PLLC
Street	5100 W TAFT RD SUITE 1B
City	LIVERPOOL
State	NY
ZIP	13088
Phone	315 299-4232
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	8/16/2025
Certificate Expiration Date	8/15/2027
Facility Type	Physician Office
Lab Director	DR. NICOLE A. MIRJAFARI

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