33D0917350 CLIA NUMBER - FE TERESA MCCARTHY MD

Laboratory Demographics

CLIA Number: 33D0917350

Facility Name: FE TERESA MCCARTHY MD

Facility Address:
951 ALBANY SHAKER ROAD
LATHAM, NY
ZIP 12110
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Facility Phone Number: 518 220-2022

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1174512743

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	33D0917350
LAB Type	Physician Office
Facility Name	FE TERESA MCCARTHY MD
Street	951 ALBANY SHAKER ROAD
City	LATHAM
State	NY
ZIP	12110
Phone	518 220-2022
CertificateType	4
CertificateEffectiveDate	12/2/2022
CertificateExpirationDate	12/1/2024
FacilityType	Waiver

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