33D0978342 CLIA NUMBER - CAPITAL REGION AMBULATORY SURGERY CENTER

Laboratory Demographics

CLIA Number: 33D0978342

Facility Name: CAPITAL REGION AMBULATORY SURGERY CENTER

Facility Address:
1367 WASHINGTON AVE - SUITE 401
ALBANY, NY
ZIP 12206
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Facility Phone Number: 518 438-7638

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1942292545

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D0978342
LAB Type	Ambulatory Surgery Center
Facility Name	CAPITAL REGION AMBULATORY SURGERY CENTER
Street	1367 WASHINGTON AVE - SUITE 401
City	ALBANY
State	NY
ZIP	12206
Phone	518 438-7638
CertificateType	4
CertificateEffectiveDate	9/22/2000
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024