33D2303856 CLIA NUMBER - COCOON WELLNESS AND BIRTH LLC

Laboratory Demographics

  • CLIA Code: 33D2303856
  • Facility Name: COCOON WELLNESS AND BIRTH LLC
  • Facility Address: 31 ITHACA STREET
    WAVERLY, NY
    ZIP 14892
  • Facility Phone: 607 249-4900
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: JENNIFER SEYMOUR
  • NPI Number: 1770312795
  • Taxonomy: 261QB0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2303856
LAB Type Practitioner Other
Facility Name COCOON WELLNESS AND BIRTH LLC
Street 31 ITHACA STREET
City WAVERLY
State NY
ZIP 14892
Phone 607 249-4900
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Practitioner Other
Lab Director JENNIFER SEYMOUR

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