33D0987012 CLIA NUMBER - CAPITALCARE FAMILY MEDICINE SLINGERLANDS DIVISION OF COMMUNITY CARE PHYSICIANS PC

Laboratory Demographics

CLIA Code: 33D0987012
Facility Name: CAPITALCARE FAMILY MEDICINE SLINGERLANDS DIVISION OF COMMUNITY CARE PHYSICIANS PC
Facility Address: 1882 NEW SCOTLAND ROAD, SUITE 200
SLINGERLANDS, NY
ZIP 12159
Facility Phone: 518 439-2460
Facility Type: Physician Office
Facility Type: Microscopy
Lab Director: DR. LISA R. BEVILACQUA
NPI Number: 1932482890
Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name	Field Value
CLIA Number	33D0987012
LAB Type	Physician Office
Facility Name	CAPITALCARE FAMILY MEDICINE SLINGERLANDS DIVISION OF COMMUNITY CARE PHYSICIANS PC
Street	1882 NEW SCOTLAND ROAD, SUITE 200
City	SLINGERLANDS
State	NY
ZIP	12159
Phone	518 439-2460
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	1/12/2025
Certificate Expiration Date	1/11/2027
Facility Type	Physician Office
Lab Director	DR. LISA R. BEVILACQUA

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