33D0968819 CLIA NUMBER - COMMUNITY CARE PHYSICIANS SCHODACK OFFICE

Laboratory Demographics

  • CLIA Code: 33D0968819
  • Facility Name: COMMUNITY CARE PHYSICIANS SCHODACK OFFICE
  • Facility Address: 35 EMPIRE STATE BOULEVARD
    CASTLETON, NY
    ZIP 12033
  • Facility Phone: 518 477-2167
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ROMMEL M. TOLENTINO
  • NPI Number: 1346522521
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0968819
LAB Type Physician Office
Facility Name COMMUNITY CARE PHYSICIANS SCHODACK OFFICE
Street 35 EMPIRE STATE BOULEVARD
City CASTLETON
State NY
ZIP 12033
Phone 518 477-2167
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 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Physician Office
Lab Director DR. ROMMEL M. TOLENTINO

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