33D0163206 CLIA NUMBER - CORNWALL PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 33D0163206
  • Facility Name: CORNWALL PRIMARY CARE
  • Facility Address: 19 LAUREL AVE, LL1
    CORNWALL, NY
    ZIP 12518
  • Facility Phone: 845 534-7080
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. UTICIA M. BELFIELD
  • NPI Number: 1114173697
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D0163206
LAB Type Physician Office
Facility Name CORNWALL PRIMARY CARE
Street 19 LAUREL AVE, LL1
City CORNWALL
State NY
ZIP 12518
Phone 845 534-7080
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/26/2012
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. UTICIA M. BELFIELD

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