33D2044745 CLIA NUMBER - PHYSICIAN OFFICE BASED SURGERY

Laboratory Demographics

  • CLIA Code: 33D2044745
  • Facility Name: PHYSICIAN OFFICE BASED SURGERY
  • Facility Address: 82 NORTH WATER STREET
    POUGHKEEPSIE, NY
    ZIP 12601
  • Facility Phone: 845 454-8025
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MANOJ T. ABRAHAM
  • NPI Number: 1568788990
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2044745
LAB Type Physician Office
Facility Name PHYSICIAN OFFICE BASED SURGERY
Street 82 NORTH WATER STREET
City POUGHKEEPSIE
State NY
ZIP 12601
Phone 845 454-8025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Physician Office
Lab Director DR. MANOJ T. ABRAHAM

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