33D1055507 CLIA NUMBER - DOUGLAS C CLINE MD

Laboratory Demographics

  • CLIA Code: 33D1055507
  • Facility Name: DOUGLAS C CLINE MD
  • Facility Address: 104 MAIN STREET
    QUEENSBURY, NY
    ZIP 12804
  • Facility Phone: 877 330-3340
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS C. CLINE
  • NPI Number: 1386633634
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D1055507
LAB Type Physician Office
Facility Name DOUGLAS C CLINE MD
Street 104 MAIN STREET
City QUEENSBURY
State NY
ZIP 12804
Phone 877 330-3340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Physician Office
Lab Director DOUGLAS C. CLINE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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