33D2062250 CLIA NUMBER - COMMUNITY CARE PHYSICIANS, PC DBA COMMUNITY CARE INTERNAL MEDICINE CLIFTON PARK

Laboratory Demographics

  • CLIA Code: 33D2062250
  • Facility Name: COMMUNITY CARE PHYSICIANS, PC DBA COMMUNITY CARE INTERNAL MEDICINE CLIFTON PARK
  • Facility Address: 1783 ROUTE 9, SUITE 102
    CLIFTON PARK, NY
    ZIP 12065
  • Facility Phone: 518 383-4198
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JILL A. GRADNER
  • NPI Number: 1003257551
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2062250
LAB Type Physician Office
Facility Name COMMUNITY CARE PHYSICIANS, PC DBA COMMUNITY CARE INTERNAL MEDICINE CLIFTON PARK
Street 1783 ROUTE 9, SUITE 102
City CLIFTON PARK
State NY
ZIP 12065
Phone 518 383-4198
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Physician Office
Lab Director DR. JILL A. GRADNER

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