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33D0687441 CLIA NUMBER - CAPITALCARE FAMILY PRACTICE CHARLTON DIVISION OF COMMUNITY CARE PHYSICIANS PC

Laboratory Demographics

CLIA Number: 33D0687441

Facility Name: CAPITALCARE FAMILY PRACTICE CHARLTON DIVISION OF COMMUNITY CARE PHYSICIANS PC

Facility Address:
286 STAGE ROAD
CHARLTON, NY
ZIP 12019
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Facility Phone Number: 518 399-2101

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1598046203

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 33D0687441
LAB Type Physician Office
Facility Name CAPITALCARE FAMILY PRACTICE CHARLTON DIVISION OF COMMUNITY CARE PHYSICIANS PC
Street 286 STAGE ROAD
City CHARLTON
State NY
ZIP 12019
Phone 518 399-2101
CertificateType 4
CertificateEffectiveDate 8/16/2023
CertificateExpirationDate 8/15/2025
FacilityType Waiver

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