33D2079487 CLIA NUMBER - ULSTER GASTROENTEROLOGY PLLC

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Laboratory Demographics

CLIA Number: 33D2079487

Facility Name: ULSTER GASTROENTEROLOGY PLLC

Facility Address:
301 HURLEY AVE
KINGSTON, NY
ZIP 12401
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Facility Phone Number: 845 309-7597

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1538597489

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	33D2079487
LAB Type	Physician Office
Facility Name	ULSTER GASTROENTEROLOGY PLLC
Street	301 HURLEY AVE
City	KINGSTON
State	NY
ZIP	12401
Phone	845 309-7597
CertificateType	2
CertificateEffectiveDate	8/9/2022
CertificateExpirationDate	8/8/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024