33D0984542 CLIA NUMBER - RUSSELL SAGE COLLEGE WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 33D0984542
  • Facility Name: RUSSELL SAGE COLLEGE WELLNESS CENTER
  • Facility Address: 45 FERRY STREET
    TROY, NY
    ZIP 12180
  • Facility Phone: 518 244-2261
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: MS. JANE R. ROODENBURG
  • NPI Number: 1588890784
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 33D0984542
LAB Type School/Student Health Service
Facility Name RUSSELL SAGE COLLEGE WELLNESS CENTER
Street 45 FERRY STREET
City TROY
State NY
ZIP 12180
Phone 518 244-2261
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 3/24/2012
Certificate Expiration Date 3/26/2027
Facility Type School/Student Health Service
Lab Director MS. JANE R. ROODENBURG

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