33D0167550 CLIA NUMBER - NORTH COUNTRY FAMILY HEALTH CENTER INC

Laboratory Demographics

CLIA Number: 33D0167550

Facility Name: NORTH COUNTRY FAMILY HEALTH CENTER INC

Facility Address:
238 ARSENAL STREET
WATERTOWN, NY
ZIP 13601
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Facility Phone Number: 315 782-9450

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1609946821

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D0167550
LAB Type	Community Clinic
Facility Name	NORTH COUNTRY FAMILY HEALTH CENTER INC
Street	238 ARSENAL STREET
City	WATERTOWN
State	NY
ZIP	13601
Phone	315 782-9450
CertificateType	4
CertificateEffectiveDate	2/11/2009
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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