33D2022002 CLIA NUMBER - COMMUNITY CARE PHYSICIANS - PARTNERS RTP

Laboratory Demographics

  • CLIA Code: 33D2022002
  • Facility Name: COMMUNITY CARE PHYSICIANS - PARTNERS RTP
  • Facility Address: 101 JORDAN ROAD, SUITE 104
    TROY, NY
    ZIP 12180
  • Facility Phone: 518 274-0024
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. RACHELLE I. BRILLIANT
  • NPI Number: 1609208982
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 33D2022002
LAB Type Physician Office
Facility Name COMMUNITY CARE PHYSICIANS - PARTNERS RTP
Street 101 JORDAN ROAD, SUITE 104
City TROY
State NY
ZIP 12180
Phone 518 274-0024
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 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Physician Office
Lab Director DR. RACHELLE I. BRILLIANT

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