33D0705737 CLIA NUMBER - MALTA FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 33D0705737
  • Facility Name: MALTA FAMILY MEDICINE
  • Facility Address: 6 MEDICAL PARK DRIVE, SUITE 208
    MALTA, NY
    ZIP 12020
  • Facility Phone: 518 899-2632
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EUGENE K. MERECKI
  • NPI Number: 1962527630
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0705737
LAB Type Physician Office
Facility Name MALTA FAMILY MEDICINE
Street 6 MEDICAL PARK DRIVE, SUITE 208
City MALTA
State NY
ZIP 12020
Phone 518 899-2632
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Physician Office
Lab Director DR. EUGENE K. MERECKI

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