33D0890711 CLIA NUMBER - ST PETERS ADDICTION RECOVERY CENTER

Laboratory Demographics

CLIA Number: 33D0890711

Facility Name: ST PETERS ADDICTION RECOVERY CENTER

Facility Address:
3 MERCYCARE LANE
GUILDERLAND, NY
ZIP 12084
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Facility Phone Number: (518) 452-6700

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1407937477

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D0890711
LAB Type	OTHER
Facility Name	ST PETERS ADDICTION RECOVERY CENTER
Street	3 MERCYCARE LANE
City	GUILDERLAND
State	NY
ZIP	12084
Phone	(518) 452-6700

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This page was last updated on: 5/11/2023