33D2326199 CLIA NUMBER - HERNANDEZ MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 33D2326199
  • Facility Name: HERNANDEZ MEDICAL PLLC
  • Facility Address: 112 CLAYTON AVENUE
    VESTAL, NY
    ZIP 13850
  • Facility Phone: 607 205-1440
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OSNEL HERNANDEZ
  • NPI Number: 1033995964
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2326199
LAB Type Physician Office
Facility Name HERNANDEZ MEDICAL PLLC
Street 112 CLAYTON AVENUE
City VESTAL
State NY
ZIP 13850
Phone 607 205-1440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director OSNEL HERNANDEZ

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