33D0973187 CLIA NUMBER - PARK PLACE PEDIATRIC AND ADOLESCENT MEDICINE

Laboratory Demographics

  • CLIA Code: 33D0973187
  • Facility Name: PARK PLACE PEDIATRIC AND ADOLESCENT MEDICINE
  • Facility Address: 701 UNION STREET
    SCHENECTADY, NY
    ZIP 12305
  • Facility Phone: (518) 374-3511
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HADI KOOHSARI

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CLIA Record

Field Name Field Value
CLIA Number 33D0973187
LAB Type Physician Office
Facility Name PARK PLACE PEDIATRIC AND ADOLESCENT MEDICINE
Street 701 UNION STREET
City SCHENECTADY
State NY
ZIP 12305
Phone 5183743511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Physician Office
Lab Director HADI KOOHSARI

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This page was last updated on: 5/18/2026