33D1096583 CLIA NUMBER - COLUMBIA INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 33D1096583
  • Facility Name: COLUMBIA INTERNAL MEDICINE
  • Facility Address: 2500 POND VIEW DRIVE, SUITE 202
    CASTLETON ON HUDSON, NY
    ZIP 12033
  • Facility Phone: 518 391-2889
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. PADMA SRIPADA
  • NPI Number: 1477503142
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1096583
LAB Type Physician Office
Facility Name COLUMBIA INTERNAL MEDICINE
Street 2500 POND VIEW DRIVE, SUITE 202
City CASTLETON ON HUDSON
State NY
ZIP 12033
Phone 518 391-2889
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 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Physician Office
Lab Director DR. PADMA SRIPADA

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