33D1049452 CLIA NUMBER - MOUNTAIN VIEW PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 33D1049452
  • Facility Name: MOUNTAIN VIEW PEDIATRICS, PLLC
  • Facility Address: 18 FEATHERS DRIVE
    PLATTSBURGH, NY
    ZIP 12901
  • Facility Phone: 518 324-2040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT W. MOORE
  • NPI Number: 1013003359
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D1049452
LAB Type Physician Office
Facility Name MOUNTAIN VIEW PEDIATRICS, PLLC
Street 18 FEATHERS DRIVE
City PLATTSBURGH
State NY
ZIP 12901
Phone 518 324-2040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type Physician Office
Lab Director DR. ROBERT W. MOORE

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