33D0161752 CLIA NUMBER - RIVERVIEW PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D0161752
  • Facility Name: RIVERVIEW PEDIATRICS
  • Facility Address: 315 2ND AVENUE
    TROY, NY
    ZIP 12182
  • Facility Phone: 518 235-6181
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM A. KOSTUN
  • NPI Number: 1376673319
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0161752
LAB Type Physician Office
Facility Name RIVERVIEW PEDIATRICS
Street 315 2ND AVENUE
City TROY
State NY
ZIP 12182
Phone 518 235-6181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Physician Office
Lab Director WILLIAM A. KOSTUN

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