33D1064484 CLIA NUMBER - MALTA MED EMERGENCY CARE LABORATORY

Laboratory Demographics

CLIA Number: 33D1064484

Facility Name: MALTA MED EMERGENCY CARE LABORATORY

Facility Address:
6 MEDICAL PARK DRIVE SUITE 101
MALTA, NY
ZIP 12020
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Facility Phone Number: 518 886-5433

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Certificate of Compliance

NPI Number: 1518135979

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	33D1064484
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	MALTA MED EMERGENCY CARE LABORATORY
Street	6 MEDICAL PARK DRIVE SUITE 101
City	MALTA
State	NY
ZIP	12020
Phone	518 886-5433
CertificateType	2
CertificateEffectiveDate	2/7/2007
CertificateExpirationDate	3/26/2027
FacilityType	Compliance

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This page was last updated on: 4/23/2024