33D0164109 CLIA NUMBER - HUDSON DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 33D0164109
  • Facility Name: HUDSON DERMATOLOGY
  • Facility Address: 29 FOX STREET, 4TH FLOOR
    POUGHKEEPSIE, NY
    ZIP 12601
  • Facility Phone: 845 896-7730
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. HENDRIK I. UYTTENDAELE
  • NPI Number: 1508895384
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D0164109
LAB Type Physician Office
Facility Name HUDSON DERMATOLOGY
Street 29 FOX STREET, 4TH FLOOR
City POUGHKEEPSIE
State NY
ZIP 12601
Phone 845 896-7730
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 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Physician Office
Lab Director DR. HENDRIK I. UYTTENDAELE

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