33D0989115 CLIA NUMBER - EMILY T ETZKORN MD

Laboratory Demographics

  • CLIA Code: 33D0989115
  • Facility Name: EMILY T ETZKORN MD
  • Facility Address: 5010 STATE HIGHWAY 30 SUITE G-02
    AMSTERDAM, NY
    ZIP 12010
  • Facility Phone: 518 842-0017
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: EMILY T. ETZKORN
  • NPI Number: 1871554543
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0989115
LAB Type Physician Office
Facility Name EMILY T ETZKORN MD
Street 5010 STATE HIGHWAY 30 SUITE G-02
City AMSTERDAM
State NY
ZIP 12010
Phone 518 842-0017
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 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Physician Office
Lab Director EMILY T. ETZKORN

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