33D1082203 CLIA NUMBER - COLON AND RECTAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D1082203
  • Facility Name: COLON AND RECTAL CARE PC
  • Facility Address: 518 BROADWAY
    KINGSTON, NY
    ZIP 12401
  • Facility Phone: 845 339-5100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DEEPAK R. PATEL
  • NPI Number: 1629235890
  • Taxonomy: 208C00000X - Colon & Rectal Surgery

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CLIA Record

Field Name Field Value
CLIA Number 33D1082203
LAB Type Physician Office
Facility Name COLON AND RECTAL CARE PC
Street 518 BROADWAY
City KINGSTON
State NY
ZIP 12401
Phone 845 339-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Physician Office
Lab Director DR. DEEPAK R. PATEL

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