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FONDA VA CLINIC
NPI 1013960350
Clinic/Center - VA in Fonda, NY

Active since May 18, 2006CLIA 33D1097470 · Accreditation
2623 STATE HIGHWAY 30A, FONDA, NY 12068(717) 277-6565 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jan 10, 2023, Sep 1, 2022 (2 updates tracked since 2022).

About Fonda Va Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FONDA VA CLINIC (NPI 1013960350) is a healthcare organization registered as a va in Fonda, New York and active in the NPI registry since May 2006. The organization holds an CLIA Accreditation certificate valid through September 30, 2026 and lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1013960350
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameBUFFALO VAMC
Location Address2623 STATE HIGHWAY 30AFonda, NY 12068-5961
Mailing AddressPo Box 94434Cleveland, OH 44101-4434 · (717) 277-6565
Phone(717) 277-6565
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateMay 18, 2006
Last NPPES UpdateJanuary 10, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
✔ NPI 1013960350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
2623 STATE HIGHWAY 30A, Fonda, NY 12068
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Other Names 1

Other NameFonda Va Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 33D1097470

Fonda Cboc · Fonda, NY
Active · expires Sep 30, 2026
CLIA Number33D1097470
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 27, 2009
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorRaina Patel
Laboratory Phone(518) 626-5220
Laboratory LocationFonda Cboc2623 State Highway 30A, Fonda, NY 12068
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NINA SAKHNOVSKAYA D.D.S.
Dentist (General Practice)
2623 STATE HIGHWAY 30A
FONDA, NY 12068
Montgomery County (518) 853-1400
DR. CHRISTOPHER L KOLBAY M.D.
Internal Medicine
2623 STATE HIGHWAY 30A, VA PRIMARY CARE PRACTICE, FONDA
FONDA, NY 12068
Montgomery County (518) 853-1247

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Buffalo Vamc's NPI number?

The NPI number for Buffalo Vamc is 1013960350. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is also known as Fonda VA Clinic.

Where is Buffalo Vamc located?

Buffalo Vamc is located at 2623 State Highway 30A, Fonda, NY 12068. The listed phone number is (717) 277-6565.

What is Buffalo Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

Does Buffalo Vamc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 33D1097470) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Buffalo Vamc was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.