33D2035160 CLIA NUMBER - MONTICELLO CBOC

Laboratory Demographics

  • CLIA Code: 33D2035160
  • Facility Name: MONTICELLO CBOC
  • Facility Address: 55 STURGIS ROAD
    MONTICELLO, NY
    ZIP 12701
  • Facility Phone: 845 791-4936
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: SAXENA RAKHEE
  • NPI Number: 1629123484
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 33D2035160
LAB Type Community Clinic
Facility Name MONTICELLO CBOC
Street 55 STURGIS ROAD
City MONTICELLO
State NY
ZIP 12701
Phone 845 791-4936
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/12/2012
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director SAXENA RAKHEE

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