33D0951743 CLIA NUMBER - COMMUNITY CARE PHYSICIANS, PC

Laboratory Demographics

  • CLIA Code: 33D0951743
  • Facility Name: COMMUNITY CARE PHYSICIANS, PC
  • Facility Address: 101 JORDAN ROAD, SUITE 100
    TROY, NY
    ZIP 12180
  • Facility Phone: 518 274-9126
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RONALD V. MUSTO
  • NPI Number: 1942582028
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0951743
LAB Type Physician Office
Facility Name COMMUNITY CARE PHYSICIANS, PC
Street 101 JORDAN ROAD, SUITE 100
City TROY
State NY
ZIP 12180
Phone 518 274-9126
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director DR. RONALD V. MUSTO

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