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

Laboratory Demographics

  • CLIA Code: 33D0687441
  • Facility Name: CAPITALCARE FAMILY PRACTICE CHARLTON DIVISION OF COMMUNITY CARE PHYSICIANS PC
  • Facility Address: 286 STAGE ROAD
    CHARLTON, NY
    ZIP 12019
  • Facility Phone: 518 399-2101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PHILIP R. HUNTER
  • NPI Number: 1598046203
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Physician Office
Lab Director DR. PHILIP R. HUNTER

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