33D0164296 CLIA NUMBER - POUGHKEEPSIE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 33D0164296
  • Facility Name: POUGHKEEPSIE MEDICAL GROUP
  • Facility Address: 375 HOOKER AVENUE
    POUGHKEEPSIE, NY
    ZIP 12603
  • Facility Phone: 845 454-5000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HENRY KAMENECKA
  • NPI Number: 1700979507
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0164296
LAB Type Physician Office
Facility Name POUGHKEEPSIE MEDICAL GROUP
Street 375 HOOKER AVENUE
City POUGHKEEPSIE
State NY
ZIP 12603
Phone 845 454-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director DR. HENRY KAMENECKA

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