33D1040502 CLIA NUMBER - URGENT CARE COMMUNITY CARE PHYSICIANS

Laboratory Demographics

  • CLIA Code: 33D1040502
  • Facility Name: URGENT CARE COMMUNITY CARE PHYSICIANS
  • Facility Address: 6 WELLNESS WAY SUITE 111
    LATHAM, NY
    ZIP 12110
  • Facility Phone: 518 213-0227
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. OLEKSIY LOYTRA
  • NPI Number: 1427320118
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1040502
LAB Type Physician Office
Facility Name URGENT CARE COMMUNITY CARE PHYSICIANS
Street 6 WELLNESS WAY SUITE 111
City LATHAM
State NY
ZIP 12110
Phone 518 213-0227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director DR. OLEKSIY LOYTRA

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