33D2064586 CLIA NUMBER - JAN PATTERSON, MD, PC

Laboratory Demographics

  • CLIA Code: 33D2064586
  • Facility Name: JAN PATTERSON, MD, PC
  • Facility Address: 242 SOUTH CENTRAL AVENUE
    MECHANICVILLE, NY
    ZIP 12118
  • Facility Phone: 518 779-5225
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JAN L. PATTERSON
  • NPI Number: 1881668523
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2064586
LAB Type Physician Office
Facility Name JAN PATTERSON, MD, PC
Street 242 SOUTH CENTRAL AVENUE
City MECHANICVILLE
State NY
ZIP 12118
Phone 518 779-5225
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Physician Office
Lab Director DR. JAN L. PATTERSON

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