33D0968814 CLIA NUMBER - COMMUNITY CARE PHYSICIANS PC DBA LATHAM PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D0968814
  • Facility Name: COMMUNITY CARE PHYSICIANS PC DBA LATHAM PEDIATRICS
  • Facility Address: 6 WELLNESS WAY SUITE 102
    LATHAM, NY
    ZIP 12110
  • Facility Phone: 518 783-3146
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KRISTINA M. LAHTINEN-ALEY
  • NPI Number: 1508456708
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0968814
LAB Type Physician Office
Facility Name COMMUNITY CARE PHYSICIANS PC DBA LATHAM PEDIATRICS
Street 6 WELLNESS WAY SUITE 102
City LATHAM
State NY
ZIP 12110
Phone 518 783-3146
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/24/2023
Certificate Expiration Date 12/23/2025
Facility Type Physician Office
Lab Director DR. KRISTINA M. LAHTINEN-ALEY

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