33D0952696 CLIA NUMBER - CLAUDIA B FISH MD DIABETES OSTEOPOROSIS & ENDOCRINE CENTER

Laboratory Demographics

CLIA Number: 33D0952696

Facility Name: CLAUDIA B FISH MD DIABETES OSTEOPOROSIS & ENDOCRINE CENTER

Facility Address:
1571 WASHINGTON ST SUITE 201
WATERTOWN, NY
ZIP 13601
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Facility Phone Number: 315 786-0224

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043293665

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	33D0952696
LAB Type	Physician Office
Facility Name	CLAUDIA B FISH MD DIABETES OSTEOPOROSIS & ENDOCRINE CENTER
Street	1571 WASHINGTON ST SUITE 201
City	WATERTOWN
State	NY
ZIP	13601
Phone	315 786-0224
CertificateType	4
CertificateEffectiveDate	8/6/2023
CertificateExpirationDate	8/5/2025
FacilityType	Waiver

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