33D0706384 CLIA NUMBER - NEWTON MEDICAL

Laboratory Demographics

CLIA Number: 33D0706384

Facility Name: NEWTON MEDICAL

Facility Address:
1770 CENTRAL AVENUE
ALBANY, NY
ZIP 12205
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Facility Phone Number: 518 869-9692

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1942285804

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D0706384
LAB Type	Physician Office
Facility Name	NEWTON MEDICAL
Street	1770 CENTRAL AVENUE
City	ALBANY
State	NY
ZIP	12205
Phone	518 869-9692
CertificateType	4
CertificateEffectiveDate	7/18/2022
CertificateExpirationDate	7/17/2024
FacilityType	Waiver

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