33D1045790 CLIA NUMBER - CAPITALCARE FAMILY PRACTICE AVERILL PARK DIVISION OF COMMUNITY CARE PHYSICIANS PC

Laboratory Demographics

  • CLIA Code: 33D1045790
  • Facility Name: CAPITALCARE FAMILY PRACTICE AVERILL PARK DIVISION OF COMMUNITY CARE PHYSICIANS PC
  • Facility Address: 3305 ROUTE 43, LOWER LEVEL
    AVERILL PARK, NY
    ZIP 12018
  • Facility Phone: (518) 674-5797
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LISA M. THORN

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CLIA Record

Field Name Field Value
CLIA Number 33D1045790
LAB Type Physician Office
Facility Name CAPITALCARE FAMILY PRACTICE AVERILL PARK DIVISION OF COMMUNITY CARE PHYSICIANS PC
Street 3305 ROUTE 43, LOWER LEVEL
City AVERILL PARK
State NY
ZIP 12018
Phone 5186745797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Physician Office
Lab Director DR. LISA M. THORN

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This page was last updated on: 5/18/2026