33D0966357 CLIA NUMBER - COMMUNITY CARE PHYSICIANS PC UPSTATE HEMATOLOGY ONCOLOGY

Laboratory Demographics

  • CLIA Code: 33D0966357
  • Facility Name: COMMUNITY CARE PHYSICIANS PC UPSTATE HEMATOLOGY ONCOLOGY
  • Facility Address: 2125 RIVER ROAD, SUITE 100
    NISKAYUNA, NY
    ZIP 12309
  • Facility Phone: 518 836-3030
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. RANA B. JACOB
  • NPI Number: 1760506810
  • Taxonomy: 207RX0202X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0966357
LAB Type Physician Office
Facility Name COMMUNITY CARE PHYSICIANS PC UPSTATE HEMATOLOGY ONCOLOGY
Street 2125 RIVER ROAD, SUITE 100
City NISKAYUNA
State NY
ZIP 12309
Phone 518 836-3030
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/18/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. RANA B. JACOB

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