33D0161966 CLIA NUMBER - SCHOOLHOUSE ROAD PEDIATRIC ASSOCS PC

Laboratory Demographics

  • CLIA Code: 33D0161966
  • Facility Name: SCHOOLHOUSE ROAD PEDIATRIC ASSOCS PC
  • Facility Address: 81 SCHOOLHOUSE ROAD
    ALBANY, NY
    ZIP 12203
  • Facility Phone: 518 456-1211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN BEVILACQUA DO
  • NPI Number: 1154428431
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0161966
LAB Type Physician Office
Facility Name SCHOOLHOUSE ROAD PEDIATRIC ASSOCS PC
Street 81 SCHOOLHOUSE ROAD
City ALBANY
State NY
ZIP 12203
Phone 518 456-1211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Physician Office
Lab Director JOHN BEVILACQUA DO

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