33D0161435 CLIA NUMBER - SHAKER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D0161435
  • Facility Name: SHAKER PEDIATRICS
  • Facility Address: 10 CENTURY HILL DRIVE, SUITE 5
    LATHAM, NY
    ZIP 12110
  • Facility Phone: 518 783-5563
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SHEELA GRANEY
  • NPI Number: 1336156223
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0161435
LAB Type Physician Office
Facility Name SHAKER PEDIATRICS
Street 10 CENTURY HILL DRIVE, SUITE 5
City LATHAM
State NY
ZIP 12110
Phone 518 783-5563
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Physician Office
Lab Director DR. SHEELA GRANEY

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