33D0165167 CLIA NUMBER - SMITH HOUSE HEALTH CARE CENTER

Laboratory Demographics

CLIA Number: 33D0165167

Facility Name: SMITH HOUSE HEALTH CARE CENTER

Facility Address:
39 FARRELL ROAD
WILLSBORO, NY
ZIP 12996
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Facility Phone Number: 518 963-4275

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1932331667

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	33D0165167
LAB Type	Community Clinic
Facility Name	SMITH HOUSE HEALTH CARE CENTER
Street	39 FARRELL ROAD
City	WILLSBORO
State	NY
ZIP	12996
Phone	518 963-4275
CertificateType	4
CertificateEffectiveDate	3/8/2007
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024