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

Laboratory Demographics

CLIA Number: 33D0712179

Facility Name: ANDERSON MEDICAL PC EMERGENCY ONE URGENT CARE CENTER

Facility Address:
40 HURLEY AVE SUITE 4
KINGSTON, NY
ZIP 12401
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Facility Phone Number: 845 338-5600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1114043411

Taxonomy: 261QU0200X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	1/27/2023
CertificateExpirationDate	1/26/2025
FacilityType	Waiver

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