33D2116725 CLIA NUMBER - COMMUNITY CARE PHYSICIANS, PC IMAGECARE - CLIFTON PARK

Laboratory Demographics

  • CLIA Code: 33D2116725
  • Facility Name: COMMUNITY CARE PHYSICIANS, PC IMAGECARE - CLIFTON PARK
  • Facility Address: 1783 ROUTE 9 - SUITE 104
    CLIFTON PARK, NY
    ZIP 12065
  • Facility Phone: 518 836-2428
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL R. COOLEY
  • NPI Number: 1992077671
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 33D2116725
LAB Type Physician Office
Facility Name COMMUNITY CARE PHYSICIANS, PC IMAGECARE - CLIFTON PARK
Street 1783 ROUTE 9 - SUITE 104
City CLIFTON PARK
State NY
ZIP 12065
Phone 518 836-2428
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director DR. MICHAEL R. COOLEY

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