33D0163205 CLIA NUMBER - ST LUKES CORNWALL HOSPITAL CORNWALL CAMPUS LABORATORY

Laboratory Demographics

  • CLIA Code: 33D0163205
  • Facility Name: ST LUKES CORNWALL HOSPITAL CORNWALL CAMPUS LABORATORY
  • Facility Address: 19 LAUREL AVENUE
    CORNWALL, NY
    ZIP 12518
  • Facility Phone: 845 458-4271
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DR. RAKESH K. ABBI
  • NPI Number: 1558503656
  • Taxonomy: 2085R0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 33D0163205
LAB Type Hospital
Facility Name ST LUKES CORNWALL HOSPITAL CORNWALL CAMPUS LABORATORY
Street 19 LAUREL AVENUE
City CORNWALL
State NY
ZIP 12518
Phone 845 458-4271
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2016
Certificate Expiration Date 3/26/2027
Facility Type Hospital
Lab Director DR. RAKESH K. ABBI

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