33D2321765 CLIA NUMBER - JENNIFER LYNN HOLMBERG FAMILY NURSE PRACTITIONER SERVICES PLLC

Laboratory Demographics

  • CLIA Code: 33D2321765
  • Facility Name: JENNIFER LYNN HOLMBERG FAMILY NURSE PRACTITIONER SERVICES PLLC
  • Facility Address: 400 PLAZA DR - SUITE C
    VESTAL, NY
    ZIP 13850
  • Facility Phone: 607 237-0065
  • Facility Type: Other - NP PRIVATE PRACTICE
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. HOLMBERG
  • NPI Number: 1659040079
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 33D2321765
LAB Type Other - NP PRIVATE PRACTICE
Facility Name JENNIFER LYNN HOLMBERG FAMILY NURSE PRACTITIONER SERVICES PLLC
Street 400 PLAZA DR - SUITE C
City VESTAL
State NY
ZIP 13850
Phone 607 237-0065
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 3/26/2027
Facility Type Other - NP PRIVATE PRACTICE
Lab Director JENNIFER L. HOLMBERG

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