33D0161765 CLIA NUMBER - COMMUNITY CARE PHYSICIANS, PLLC DBA TROY FAMILY PHYSICIANS

Laboratory Demographics

CLIA Number: 33D0161765

Facility Name: COMMUNITY CARE PHYSICIANS, PLLC DBA TROY FAMILY PHYSICIANS

Facility Address:
200 NORTHERN DRIVE-MAIN FLOOR
TROY, NY
ZIP 12182
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Facility Phone Number: 518 237-7363

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1790796035

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	33D0161765
LAB Type	Physician Office
Facility Name	COMMUNITY CARE PHYSICIANS, PLLC DBA TROY FAMILY PHYSICIANS
Street	200 NORTHERN DRIVE-MAIN FLOOR
City	TROY
State	NY
ZIP	12182
Phone	518 237-7363
CertificateType	4
CertificateEffectiveDate	10/4/2023
CertificateExpirationDate	10/3/2025
FacilityType	Waiver

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