33D0994828 CLIA NUMBER - GLENMONT JOB CORPS CENTER

Laboratory Demographics

  • CLIA Code: 33D0994828
  • Facility Name: GLENMONT JOB CORPS CENTER
  • Facility Address: 822 RIVER ROAD, PO BOX 993
    GLENMONT, NY
    ZIP 12077
  • Facility Phone: 518 767-9371
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MARY E. CHMURA
  • NPI Number: 1386862472
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 33D0994828
LAB Type School/Student Health Service
Facility Name GLENMONT JOB CORPS CENTER
Street 822 RIVER ROAD, PO BOX 993
City GLENMONT
State NY
ZIP 12077
Phone 518 767-9371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type School/Student Health Service
Lab Director MARY E. CHMURA

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