33D1039592 CLIA NUMBER - TRACEY L BRENNAN MD PLLC

Laboratory Demographics

  • CLIA Code: 33D1039592
  • Facility Name: TRACEY L BRENNAN MD PLLC
  • Facility Address: 324 WEST AVENUE
    SARATOGA SPRINGS, NY
    ZIP 12866
  • Facility Phone: (518) 583-0000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. TRACEY L. BRENNAN
  • NPI Number: 1528283132
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1039592
LAB Type Physician Office
Facility Name TRACEY L BRENNAN MD PLLC
Street 324 WEST AVENUE
City SARATOGA SPRINGS
State NY
ZIP 12866
Phone 5185830000
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 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Physician Office
Lab Director DR. TRACEY L. BRENNAN

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This page was last updated on: 6/29/2026