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

Laboratory Demographics

  • CLIA Code: 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
  • Facility Phone: 518 869-8007
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. STEPHEN SIPPERLY
  • NPI Number: 1275816548
  • Taxonomy: 208000000X - Pediatrics

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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
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 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Physician Office
Lab Director DR. STEPHEN SIPPERLY

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