33D2074610 CLIA NUMBER - COMMUNITY CARE PHYSICIANS, PC DBA COMMUNITY CARE ENDOSCOPY & SURGICAL CARE SUITE

Laboratory Demographics

  • CLIA Code: 33D2074610
  • Facility Name: COMMUNITY CARE PHYSICIANS, PC DBA COMMUNITY CARE ENDOSCOPY & SURGICAL CARE SUITE
  • Facility Address: 713 TROY SCHENECTADY ROAD, SUITE 305
    LATHAM, NY
    ZIP 12110
  • Facility Phone: 518 640-2155
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EUGENE J. HOFFERT
  • NPI Number: 1083030506
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 33D2074610
LAB Type Physician Office
Facility Name COMMUNITY CARE PHYSICIANS, PC DBA COMMUNITY CARE ENDOSCOPY & SURGICAL CARE SUITE
Street 713 TROY SCHENECTADY ROAD, SUITE 305
City LATHAM
State NY
ZIP 12110
Phone 518 640-2155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Physician Office
Lab Director EUGENE J. HOFFERT

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