33D1094273 CLIA NUMBER - GOSHEN VA CBOC

Laboratory Demographics

CLIA Number: 33D1094273

Facility Name: GOSHEN VA CBOC

Facility Address:
30 HATFIELD LANE SUITE 204
GOSHEN, NY
ZIP 10924
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Facility Phone Number: 845 297-6927

Facility Type: Ambulatory Surgery Center

Certificate Type: Accreditation

NPI Number: 1851338776

Taxonomy: 261QV0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D1094273
LAB Type	Ambulatory Surgery Center
Facility Name	GOSHEN VA CBOC
Street	30 HATFIELD LANE SUITE 204
City	GOSHEN
State	NY
ZIP	10924
Phone	845 297-6927
CertificateType	1
CertificateEffectiveDate	1/15/2009
CertificateExpirationDate	5/22/2026
FacilityType	Accreditation

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