33D0997293 CLIA NUMBER - ROCKLAND FAMILY MEDICAL CARE

Laboratory Demographics

CLIA Number: 33D0997293

Facility Name: ROCKLAND FAMILY MEDICAL CARE

Facility Address:
34 NORTH ROUTE 9-W
WEST HAVERSTRAW, NY
ZIP 10993
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Facility Phone Number: 845 429-7400

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780998682

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	33D0997293
LAB Type	Physician Office
Facility Name	ROCKLAND FAMILY MEDICAL CARE
Street	34 NORTH ROUTE 9-W
City	WEST HAVERSTRAW
State	NY
ZIP	10993
Phone	845 429-7400
CertificateType	4
CertificateEffectiveDate	1/30/2023
CertificateExpirationDate	1/29/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024