33D2104943 CLIA NUMBER - CENTER HEALTH CARE

Laboratory Demographics

CLIA Number: 33D2104943

Facility Name: CENTER HEALTH CARE

Facility Address:
314 S MANNING BLVD
ALBANY, NY
ZIP 12208
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Facility Phone Number: 518 437-5670

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1770096984

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2104943
LAB Type	Community Clinic
Facility Name	CENTER HEALTH CARE
Street	314 S MANNING BLVD
City	ALBANY
State	NY
ZIP	12208
Phone	518 437-5670
CertificateType	4
CertificateEffectiveDate	11/16/2015
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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