33D2100071 CLIA NUMBER - CORNERSTONE FAMILY HEALTHCARE

Laboratory Demographics

CLIA Number: 33D2100071

Facility Name: CORNERSTONE FAMILY HEALTHCARE

Facility Address:
147 LAKE STREET
NEWBURGH, NY
ZIP 12550
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Facility Phone Number: 845 563-8000

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1689669079

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2100071
LAB Type	Community Clinic
Facility Name	CORNERSTONE FAMILY HEALTHCARE
Street	147 LAKE STREET
City	NEWBURGH
State	NY
ZIP	12550
Phone	845 563-8000
CertificateType	4
CertificateEffectiveDate	8/13/2021
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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