33D1090649 CLIA NUMBER - CAPITAL REGION OBGYN

Laboratory Demographics

  • CLIA Code: 33D1090649
  • Facility Name: CAPITAL REGION OBGYN
  • Facility Address: 711 TROY-SCHENECTADY RD, SUITE 205
    LATHAM, NY
    ZIP 12110
  • Facility Phone: 518 783-7070
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ELINA BURSTYN, MD
  • NPI Number: 1902050529
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 33D1090649
LAB Type Physician Office
Facility Name CAPITAL REGION OBGYN
Street 711 TROY-SCHENECTADY RD, SUITE 205
City LATHAM
State NY
ZIP 12110
Phone 518 783-7070
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Physician Office
Lab Director ELINA BURSTYN, MD

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