33D2063273 CLIA NUMBER - SUN RIVER HEALTH MONTICELLO

Laboratory Demographics

  • CLIA Code: 33D2063273
  • Facility Name: SUN RIVER HEALTH MONTICELLO
  • Facility Address: 23 LAKEWOOD AVENUE
    MONTICELLO, NY
    ZIP 12701
  • Facility Phone: (845) 794-2010
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. AMANDA ASCHER
  • NPI Number: 1407910557
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2063273
LAB Type Federally Qualified Health Center
Facility Name SUN RIVER HEALTH MONTICELLO
Street 23 LAKEWOOD AVENUE
City MONTICELLO
State NY
ZIP 12701
Phone 8457942010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2016
Certificate Expiration Date 3/26/2027
Facility Type Federally Qualified Health Center
Lab Director DR. AMANDA ASCHER

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This page was last updated on: 5/18/2026