33D2321755 CLIA NUMBER - POTSDAM BIRTH HOUSE

Laboratory Demographics

  • CLIA Code: 33D2321755
  • Facility Name: POTSDAM BIRTH HOUSE
  • Facility Address: 121 MARKET STREET
    POTSDAM, NY
    ZIP 13676
  • Facility Phone: 315 261-4370
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SUNDAY W. SMITH
  • NPI Number: 1295333656
  • Taxonomy: 261QB0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2321755
LAB Type Practitioner Other
Facility Name POTSDAM BIRTH HOUSE
Street 121 MARKET STREET
City POTSDAM
State NY
ZIP 13676
Phone 315 261-4370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Practitioner Other
Lab Director SUNDAY W. SMITH

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