33D0960363 CLIA NUMBER - MARTIN J LEROUX HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 33D0960363
  • Facility Name: MARTIN J LEROUX HEALTH CENTER
  • Facility Address: 577 COUNTY RTE 1
    FORT COVINGTON, NY
    ZIP 12937
  • Facility Phone: 518 481-8470
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. LEONARDO DISHMAN

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CLIA Record

Field Name Field Value
CLIA Number 33D0960363
LAB Type Community Clinic
Facility Name MARTIN J LEROUX HEALTH CENTER
Street 577 COUNTY RTE 1
City FORT COVINGTON
State NY
ZIP 12937
Phone 518 481-8470
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 4/9/2009
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. LEONARDO DISHMAN

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This page was last updated on: 6/4/2025