33D0161677 CLIA NUMBER - COMMUNITY CARE PHYSICIANS, PLLC

Laboratory Demographics

  • CLIA Code: 33D0161677
  • Facility Name: COMMUNITY CARE PHYSICIANS, PLLC
  • Facility Address: 6 WELLNESS WAY, SUITE G11
    LATHAM, NY
    ZIP 12110
  • Facility Phone: 518 213-0299
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. RONALD V. MUSTO
  • NPI Number: 1417547613
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0161677
LAB Type Physician Office
Facility Name COMMUNITY CARE PHYSICIANS, PLLC
Street 6 WELLNESS WAY, SUITE G11
City LATHAM
State NY
ZIP 12110
Phone 518 213-0299
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 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Physician Office
Lab Director DR. RONALD V. MUSTO

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