33D2068099 CLIA NUMBER - PHG MEDICAL OFFICE LLP, THE PLATTSBURGH HEALTH GROUP

Laboratory Demographics

  • CLIA Code: 33D2068099
  • Facility Name: PHG MEDICAL OFFICE LLP, THE PLATTSBURGH HEALTH GROUP
  • Facility Address: 1942 MILITARY TURNPIKE
    PLATTSBURGH, NY
    ZIP 12901
  • Facility Phone: 518 310-3644
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DONALD M. WERNER
  • NPI Number: 1184178121
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2068099
LAB Type Physician Office
Facility Name PHG MEDICAL OFFICE LLP, THE PLATTSBURGH HEALTH GROUP
Street 1942 MILITARY TURNPIKE
City PLATTSBURGH
State NY
ZIP 12901
Phone 518 310-3644
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Physician Office
Lab Director DR. DONALD M. WERNER

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