33D0161714 CLIA NUMBER - NEW YORK NEPHROLOGY AND DIALYSIS ACCESS SURGERY PC

Laboratory Demographics

  • CLIA Code: 33D0161714
  • Facility Name: NEW YORK NEPHROLOGY AND DIALYSIS ACCESS SURGERY PC
  • Facility Address: 258 HOOSICK STREET, SUITE 101
    TROY, NY
    ZIP 12180
  • Facility Phone: 518 274-5660
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MICHAEL GALLICHIO
  • NPI Number: 1851341580
  • Taxonomy: 207RN0300X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D0161714
LAB Type Physician Office
Facility Name NEW YORK NEPHROLOGY AND DIALYSIS ACCESS SURGERY PC
Street 258 HOOSICK STREET, SUITE 101
City TROY
State NY
ZIP 12180
Phone 518 274-5660
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. MICHAEL GALLICHIO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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