33D2005348 CLIA NUMBER - MID HUDSON INTERVENTIONAL PAIN MANAGEMENT PC

Laboratory Demographics

  • CLIA Code: 33D2005348
  • Facility Name: MID HUDSON INTERVENTIONAL PAIN MANAGEMENT PC
  • Facility Address: 21 NORTH PLANK RD
    NEWBURGH, NY
    ZIP 12550
  • Facility Phone: 845 565-5493
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SUNITHA POLEPALLE
  • NPI Number: 1922120104
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 33D2005348
LAB Type Physician Office
Facility Name MID HUDSON INTERVENTIONAL PAIN MANAGEMENT PC
Street 21 NORTH PLANK RD
City NEWBURGH
State NY
ZIP 12550
Phone 845 565-5493
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Physician Office
Lab Director DR. SUNITHA POLEPALLE

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