33D0932056 CLIA NUMBER - ESOPUS MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D0932056
  • Facility Name: ESOPUS MEDICAL PC
  • Facility Address: 120 MAPLE RIDGE DR
    ULSTER PARK, NY
    ZIP 12487
  • Facility Phone: 845 658-7735
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AMELIA L. MAAS
  • NPI Number: 1295701787
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0932056
LAB Type Physician Office
Facility Name ESOPUS MEDICAL PC
Street 120 MAPLE RIDGE DR
City ULSTER PARK
State NY
ZIP 12487
Phone 845 658-7735
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2021
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. AMELIA L. MAAS

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