33D2128122 CLIA NUMBER - TWIN RIVERS MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2128122
  • Facility Name: TWIN RIVERS MEDICAL PC
  • Facility Address: 16 DANFORTH STREET
    HOOSICK FALLS, NY
    ZIP 12090
  • Facility Phone: 518 686-5770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES E. CARROLL
  • NPI Number: 1699143800
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2128122
LAB Type Physician Office
Facility Name TWIN RIVERS MEDICAL PC
Street 16 DANFORTH STREET
City HOOSICK FALLS
State NY
ZIP 12090
Phone 518 686-5770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. JAMES E. CARROLL

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