33D2121959 CLIA NUMBER - SARATOGA HOSPITAL MEDICAL GROUP - MECHANICVILLE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 33D2121959
  • Facility Name: SARATOGA HOSPITAL MEDICAL GROUP - MECHANICVILLE PRIMARY CARE
  • Facility Address: 202 SOUTH CENTRAL AVE
    MECHANICVILLE, NY
    ZIP 12118
  • Facility Phone: 518 580-2099
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Microscopy
  • Lab Director: DR. KARIN E. BORRELLI
  • NPI Number: 1982969036
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2121959
LAB Type Ancillary Testing Site in Health Care Center
Facility Name SARATOGA HOSPITAL MEDICAL GROUP - MECHANICVILLE PRIMARY CARE
Street 202 SOUTH CENTRAL AVE
City MECHANICVILLE
State NY
ZIP 12118
Phone 518 580-2099
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. KARIN E. BORRELLI

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