33D2042568 CLIA NUMBER - ST LAWRENCE ADDICTION TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 33D2042568
  • Facility Name: ST LAWRENCE ADDICTION TREATMENT CENTER
  • Facility Address: ONE CHIMNEY POINT - HAMILTON HALL
    OGDENSBURG, NY
    ZIP 13669
  • Facility Phone: 315 479-3443
  • Facility Type: Other - INPATIENT ADDICTION CTR
  • Facility Type: Waiver
  • Lab Director: DR. SREEKRISHNA M. CHERUVU
  • NPI Number: 1124100581
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 33D2042568
LAB Type Other - INPATIENT ADDICTION CTR
Facility Name ST LAWRENCE ADDICTION TREATMENT CENTER
Street ONE CHIMNEY POINT - HAMILTON HALL
City OGDENSBURG
State NY
ZIP 13669
Phone 315 479-3443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2012
Certificate Expiration Date 3/26/2027
Facility Type Other - INPATIENT ADDICTION CTR
Lab Director DR. SREEKRISHNA M. CHERUVU

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