33D2300471 CLIA NUMBER - MADISON COUNTY MENTAL HEALTH

Laboratory Demographics

  • CLIA Code: 33D2300471
  • Facility Name: MADISON COUNTY MENTAL HEALTH
  • Facility Address: 138 N COURT ST - BLDG 2
    WAMPSVILLE, NY
    ZIP 13163
  • Facility Phone: 315 366-2327
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ERIKA L. DEMARCHE
  • NPI Number: 1689780546
  • Taxonomy: 261QM0801X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2300471
LAB Type Community Clinic
Facility Name MADISON COUNTY MENTAL HEALTH
Street 138 N COURT ST - BLDG 2
City WAMPSVILLE
State NY
ZIP 13163
Phone 315 366-2327
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director ERIKA L. DEMARCHE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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