33D1022923 CLIA NUMBER - LANSINGBURGH FAMILY PRACTICE PC

Laboratory Demographics

  • CLIA Code: 33D1022923
  • Facility Name: LANSINGBURGH FAMILY PRACTICE PC
  • Facility Address: 595 5TH AVENUE
    TROY, NY
    ZIP 12182
  • Facility Phone: 518 235-8034
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ADETUTU B. ADETONA
  • NPI Number: 1710931837
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D1022923
LAB Type Physician Office
Facility Name LANSINGBURGH FAMILY PRACTICE PC
Street 595 5TH AVENUE
City TROY
State NY
ZIP 12182
Phone 518 235-8034
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Physician Office
Lab Director DR. ADETUTU B. ADETONA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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