33D2059325 CLIA NUMBER - PINE GROVE HEALTH CENTER

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Laboratory Demographics

CLIA Number: 33D2059325

Facility Name: PINE GROVE HEALTH CENTER

Facility Address:
346 WASHINGTON AVENUE
KINGSTON, NY
ZIP 12401
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Facility Phone Number: 845 339-1733

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1861765935

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	33D2059325
LAB Type	Federally Qualified Health Center
Facility Name	PINE GROVE HEALTH CENTER
Street	346 WASHINGTON AVENUE
City	KINGSTON
State	NY
ZIP	12401
Phone	845 339-1733
CertificateType	3
CertificateEffectiveDate	5/21/2013
CertificateExpirationDate	3/26/2027
FacilityType	PPMP

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This page was last updated on: 4/23/2024