33D2020683 CLIA NUMBER - HAL N BUCH MD PC

Laboratory Demographics

  • CLIA Code: 33D2020683
  • Facility Name: HAL N BUCH MD PC
  • Facility Address: 117 ST MARY'S AVENUE, SUITE 201
    KINGSTON, NY
    ZIP 12401
  • Facility Phone: 845 331-8146
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MIROSLAV R. RADEVIC
  • NPI Number: 1780649574
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2020683
LAB Type Physician Office
Facility Name HAL N BUCH MD PC
Street 117 ST MARY'S AVENUE, SUITE 201
City KINGSTON
State NY
ZIP 12401
Phone 845 331-8146
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/11/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. MIROSLAV R. RADEVIC

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