33D1041888 CLIA NUMBER - COMMUNITY CARE GENERAL SURGERY

Laboratory Demographics

  • CLIA Code: 33D1041888
  • Facility Name: COMMUNITY CARE GENERAL SURGERY
  • Facility Address: 713 TROY SCHENECTADY ROAD, SUITE 310
    LATHAM, NY
    ZIP 12110
  • Facility Phone: 518 783-3110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DEBBIE F. YOUNGELMAN
  • NPI Number: 1508456708
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1041888
LAB Type Physician Office
Facility Name COMMUNITY CARE GENERAL SURGERY
Street 713 TROY SCHENECTADY ROAD, SUITE 310
City LATHAM
State NY
ZIP 12110
Phone 518 783-3110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Physician Office
Lab Director DR. DEBBIE F. YOUNGELMAN

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This page was last updated on: 6/4/2025