33D2060461 CLIA NUMBER - THE SURGERY CENTER AT ORTHOPEDIC ASSOCIATES

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Laboratory Demographics

CLIA Number: 33D2060461

Facility Name: THE SURGERY CENTER AT ORTHOPEDIC ASSOCIATES

Facility Address:
1910 SOUTH ROAD SUITE C
POUGHKEEPSIE, NY
ZIP 12601
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Facility Phone Number: 845 218-4211

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1649511577

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2060461
LAB Type	Ambulatory Surgery Center
Facility Name	THE SURGERY CENTER AT ORTHOPEDIC ASSOCIATES
Street	1910 SOUTH ROAD SUITE C
City	POUGHKEEPSIE
State	NY
ZIP	12601
Phone	845 218-4211
CertificateType	4
CertificateEffectiveDate	6/12/2013
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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