33D2018298 CLIA NUMBER - MOUNTAIN MEDICAL SERVICES URGENT CARE

Laboratory Demographics

  • CLIA Code: 33D2018298
  • Facility Name: MOUNTAIN MEDICAL SERVICES URGENT CARE
  • Facility Address: 3372 STATE RT 11 SUITE H
    MALONE, NY
    ZIP 12953
  • Facility Phone: 518 521-3322
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL POND
  • NPI Number: 1669040960
  • Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier

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CLIA Record

Field Name Field Value
CLIA Number 33D2018298
LAB Type Physician Office
Facility Name MOUNTAIN MEDICAL SERVICES URGENT CARE
Street 3372 STATE RT 11 SUITE H
City MALONE
State NY
ZIP 12953
Phone 518 521-3322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Physician Office
Lab Director DR. MICHAEL POND

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