33D0162496 CLIA NUMBER - ELLIS HOSPITAL CENTER LIMITED SERVICE LABORATORY

Laboratory Demographics

  • CLIA Code: 33D0162496
  • Facility Name: ELLIS HOSPITAL CENTER LIMITED SERVICE LABORATORY
  • Facility Address: 600 MCCLELLAN ST
    SCHENECTADY, NY
    ZIP 12304
  • Facility Phone: 518 243-4055
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. BERNARD T. NG
  • NPI Number: 1942745831
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 33D0162496
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ELLIS HOSPITAL CENTER LIMITED SERVICE LABORATORY
Street 600 MCCLELLAN ST
City SCHENECTADY
State NY
ZIP 12304
Phone 518 243-4055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. BERNARD T. NG

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