33D1040501 CLIA NUMBER - COMMUNITY CARE PHYSICIANS INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 33D1040501
  • Facility Name: COMMUNITY CARE PHYSICIANS INTERNAL MEDICINE
  • Facility Address: 6 WELLNESS WAY SUITE 109
    LATHAM, NY
    ZIP 12110
  • Facility Phone: 518 785-5882
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NITA A. PARIKH
  • NPI Number: 1508456708
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1040501
LAB Type Physician Office
Facility Name COMMUNITY CARE PHYSICIANS INTERNAL MEDICINE
Street 6 WELLNESS WAY SUITE 109
City LATHAM
State NY
ZIP 12110
Phone 518 785-5882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Physician Office
Lab Director DR. NITA A. PARIKH

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