33D0167387 CLIA NUMBER - MOHAWK VALLEY NEPHROLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 33D0167387
  • Facility Name: MOHAWK VALLEY NEPHROLOGY ASSOCIATES
  • Facility Address: 555 FRENCH ROAD, SUITE 103
    NEW HARTFORD, NY
    ZIP 13413
  • Facility Phone: 315 735-3541
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: IRA TISCH MD
  • NPI Number: 1548287329
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0167387
LAB Type Physician Office
Facility Name MOHAWK VALLEY NEPHROLOGY ASSOCIATES
Street 555 FRENCH ROAD, SUITE 103
City NEW HARTFORD
State NY
ZIP 13413
Phone 315 735-3541
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director IRA TISCH MD

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