33D0162712 CLIA NUMBER - COMMUNITY CARE PHYSICIANS PLLC DBA IM NISKAYUNA

Laboratory Demographics

  • CLIA Code: 33D0162712
  • Facility Name: COMMUNITY CARE PHYSICIANS PLLC DBA IM NISKAYUNA
  • Facility Address: 2125 RIVER ROAD SUITE 103
    NISKAYUNA, NY
    ZIP 12309
  • Facility Phone: 518 382-7500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT J. DONOHUE
  • NPI Number: 1164704656
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0162712
LAB Type Physician Office
Facility Name COMMUNITY CARE PHYSICIANS PLLC DBA IM NISKAYUNA
Street 2125 RIVER ROAD SUITE 103
City NISKAYUNA
State NY
ZIP 12309
Phone 518 382-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director DR. ROBERT J. DONOHUE

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