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33D0161635 CLIA NUMBER - COMMUNITY CARE PHYSICIANS PC COMMUNITY CARE UROLOGY

Laboratory Demographics

CLIA Number: 33D0161635

Facility Name: COMMUNITY CARE PHYSICIANS PC COMMUNITY CARE UROLOGY

Facility Address:
711 TROY SCHENECTADY ROAD, SUITE 119
LATHAM, NY
ZIP 12110
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Facility Phone Number: 518 786-9131

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1932621380

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name Field Value
CLIA Number 33D0161635
LAB Type Physician Office
Facility Name COMMUNITY CARE PHYSICIANS PC COMMUNITY CARE UROLOGY
Street 711 TROY SCHENECTADY ROAD, SUITE 119
City LATHAM
State NY
ZIP 12110
Phone 518 786-9131
CertificateType 3
CertificateEffectiveDate 2/8/2024
CertificateExpirationDate 2/7/2026
FacilityType PPMP

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This page was last updated on: 4/23/2024