33D0705635 CLIA NUMBER - HAMILTON COUNTY PUBLIC HEALTH NURSING SERVICE

Laboratory Demographics

  • CLIA Code: 33D0705635
  • Facility Name: HAMILTON COUNTY PUBLIC HEALTH NURSING SERVICE
  • Facility Address: 139 WHITE BIRCH LANE
    INDIAN LAKE, NY
    ZIP 12842
  • Facility Phone: 518 648-6141
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. DAVID G. WELCH
  • NPI Number: 1528197894
  • Taxonomy: 252Y00000X - Early Intervention Provider Agency

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CLIA Record

Field Name Field Value
CLIA Number 33D0705635
LAB Type Home Health Agency
Facility Name HAMILTON COUNTY PUBLIC HEALTH NURSING SERVICE
Street 139 WHITE BIRCH LANE
City INDIAN LAKE
State NY
ZIP 12842
Phone 518 648-6141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/1992
Certificate Expiration Date 3/26/2027
Facility Type Home Health Agency
Lab Director DR. DAVID G. WELCH

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