33D0725953 CLIA NUMBER - SULLIVAN COUNTY PUBLIC HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 33D0725953
  • Facility Name: SULLIVAN COUNTY PUBLIC HEALTH SERVICES
  • Facility Address: 50 COMMUNITY LANE
    LIBERTY, NY
    ZIP 12754
  • Facility Phone: 845 292-5910
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. QUAZI S. AL-TARIQ
  • NPI Number: 1922009919
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 33D0725953
LAB Type Home Health Agency
Facility Name SULLIVAN COUNTY PUBLIC HEALTH SERVICES
Street 50 COMMUNITY LANE
City LIBERTY
State NY
ZIP 12754
Phone 845 292-5910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/1992
Certificate Expiration Date 3/26/2027
Facility Type Home Health Agency
Lab Director DR. QUAZI S. AL-TARIQ

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