33D2061298 CLIA NUMBER - NATHAN S KLINE INSTITUTE - OUTPATIENT CLINICAL RESEARCH DEPT

Laboratory Demographics

  • CLIA Code: 33D2061298
  • Facility Name: NATHAN S KLINE INSTITUTE - OUTPATIENT CLINICAL RESEARCH DEPT
  • Facility Address: 140 OLD ORANGEBURG RD - BLDG 35
    ORANGEBURG, NY
    ZIP 10962
  • Facility Phone: 845 398-6556
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DR. RUSSELL H. TOBE
  • NPI Number: 1841331055
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2061298
LAB Type Comp. Outpatient Rehab Facility
Facility Name NATHAN S KLINE INSTITUTE - OUTPATIENT CLINICAL RESEARCH DEPT
Street 140 OLD ORANGEBURG RD - BLDG 35
City ORANGEBURG
State NY
ZIP 10962
Phone 845 398-6556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2013
Certificate Expiration Date 3/26/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. RUSSELL H. TOBE

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