33D1073622 CLIA NUMBER - JOHN M PRAMENKO MD PC

Laboratory Demographics

  • CLIA Code: 33D1073622
  • Facility Name: JOHN M PRAMENKO MD PC
  • Facility Address: 2310 NOTT STREET EAST
    NISKAYUNA, NY
    ZIP 12309
  • Facility Phone: 518 381-4133
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN M. PRAMENKO
  • NPI Number: 1477529048
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1073622
LAB Type Physician Office
Facility Name JOHN M PRAMENKO MD PC
Street 2310 NOTT STREET EAST
City NISKAYUNA
State NY
ZIP 12309
Phone 518 381-4133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Physician Office
Lab Director JOHN M. PRAMENKO

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