33D0984698 CLIA NUMBER - FOUR SEASONS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D0984698
  • Facility Name: FOUR SEASONS PEDIATRICS
  • Facility Address: 532 MOE ROAD
    CLIFTON PARK, NY
    ZIP 12065
  • Facility Phone: 518 383-2475
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KIMBERLY K. ELMER
  • NPI Number: 1306353479
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0984698
LAB Type Physician Office
Facility Name FOUR SEASONS PEDIATRICS
Street 532 MOE ROAD
City CLIFTON PARK
State NY
ZIP 12065
Phone 518 383-2475
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 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Physician Office
Lab Director KIMBERLY K. ELMER

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