33D2288070 CLIA NUMBER - CAYUGA HEALTH AT CAYUGA PARK

Laboratory Demographics

  • CLIA Code: 33D2288070
  • Facility Name: CAYUGA HEALTH AT CAYUGA PARK
  • Facility Address: 401 CAYUGA PARK LANE
    ITHACA, NY
    ZIP 14850
  • Facility Phone: 607 319-5900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. REZA GOLESTANI
  • NPI Number: 1386415511
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 33D2288070
LAB Type Physician Office
Facility Name CAYUGA HEALTH AT CAYUGA PARK
Street 401 CAYUGA PARK LANE
City ITHACA
State NY
ZIP 14850
Phone 607 319-5900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2023
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. REZA GOLESTANI

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