33D0712179 CLIA NUMBER - ANDERSON MEDICAL PC EMERGENCY ONE URGENT CARE CENTER

Laboratory Demographics

  • CLIA Code: 33D0712179
  • Facility Name: ANDERSON MEDICAL PC EMERGENCY ONE URGENT CARE CENTER
  • Facility Address: 40 HURLEY AVE SUITE 4
    KINGSTON, NY
    ZIP 12401
  • Facility Phone: 845 338-5600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. FERDINAND F. ANDERSON JR
  • NPI Number: 1114043411
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0712179
LAB Type Physician Office
Facility Name ANDERSON MEDICAL PC EMERGENCY ONE URGENT CARE CENTER
Street 40 HURLEY AVE SUITE 4
City KINGSTON
State NY
ZIP 12401
Phone 845 338-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director DR. FERDINAND F. ANDERSON JR

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