33D0945128 CLIA NUMBER - CAPITALCARE FAMILY PRACTICE GREAT OAKS DIVISION OF COMMUNITY CARE PHYSICIANS PC

Laboratory Demographics

CLIA Number: 33D0945128

Facility Name: CAPITALCARE FAMILY PRACTICE GREAT OAKS DIVISION OF COMMUNITY CARE PHYSICIANS PC

Facility Address:
100 GREAT OAKS BOULEVARD, SUITE 105
ALBANY, NY
ZIP 12203
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Facility Phone Number: 518 869-8007

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1275816548

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	33D0945128
LAB Type	Physician Office
Facility Name	CAPITALCARE FAMILY PRACTICE GREAT OAKS DIVISION OF COMMUNITY CARE PHYSICIANS PC
Street	100 GREAT OAKS BOULEVARD, SUITE 105
City	ALBANY
State	NY
ZIP	12203
Phone	518 869-8007
CertificateType	3
CertificateEffectiveDate	6/3/2022
CertificateExpirationDate	6/2/2024
FacilityType	PPMP

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