33D2028449 CLIA NUMBER - CONIFER PARK - TROY OPC

Laboratory Demographics

  • CLIA Code: 33D2028449
  • Facility Name: CONIFER PARK - TROY OPC
  • Facility Address: 2435 SIXTH AVE
    TROY, NY
    ZIP 12180
  • Facility Phone: 518 274-5143
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DR. GEORGE A. DISNEY
  • NPI Number: 1356396543
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2028449
LAB Type Comp. Outpatient Rehab Facility
Facility Name CONIFER PARK - TROY OPC
Street 2435 SIXTH AVE
City TROY
State NY
ZIP 12180
Phone 518 274-5143
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2011
Certificate Expiration Date 3/26/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. GEORGE A. DISNEY

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