33D0865099 CLIA NUMBER - CROWN POINT HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 33D0865099
  • Facility Name: CROWN POINT HEALTH CENTER
  • Facility Address: 2673 MAIN STREET
    CROWN POINT, NY
    ZIP 12928
  • Facility Phone: 518 597-3029
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DOUGLAS J. KIM
  • NPI Number: 1093865313
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 33D0865099
LAB Type Physician Office
Facility Name CROWN POINT HEALTH CENTER
Street 2673 MAIN STREET
City CROWN POINT
State NY
ZIP 12928
Phone 518 597-3029
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 2/21/2017
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. DOUGLAS J. KIM

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This page was last updated on: 6/4/2025