33D2293775 CLIA NUMBER - IACOBUCCI INTERNAL MEDICINE PLLC

Laboratory Demographics

  • CLIA Code: 33D2293775
  • Facility Name: IACOBUCCI INTERNAL MEDICINE PLLC
  • Facility Address: 7255 STATE ROUTE 96, SUITE 210
    VICTOR, NY
    ZIP 14564
  • Facility Phone: 585 205-8330
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES J. IACOBUCCI
  • NPI Number: 1376323766
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2293775
LAB Type Physician Office
Facility Name IACOBUCCI INTERNAL MEDICINE PLLC
Street 7255 STATE ROUTE 96, SUITE 210
City VICTOR
State NY
ZIP 14564
Phone 585 205-8330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Physician Office
Lab Director JAMES J. IACOBUCCI

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