33D0709374 CLIA NUMBER - RICHARD A CHAZKEL MD

Laboratory Demographics

  • CLIA Code: 33D0709374
  • Facility Name: RICHARD A CHAZKEL MD
  • Facility Address: 40 HURLEY AVENUE SUITE 9
    KINGSTON, NY
    ZIP 12401
  • Facility Phone: 845 331-1811
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RICHARD A. CHAZKEL
  • NPI Number: 1639277403
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 33D0709374
LAB Type Physician Office
Facility Name RICHARD A CHAZKEL MD
Street 40 HURLEY AVENUE SUITE 9
City KINGSTON
State NY
ZIP 12401
Phone 845 331-1811
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Physician Office
Lab Director RICHARD A. CHAZKEL

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