33D2140192 CLIA NUMBER - SPECIALTY EYE SURGERY AND LASER CENTER OF CAPITAL REGION, THE

Laboratory Demographics

  • CLIA Code: 33D2140192
  • Facility Name: SPECIALTY EYE SURGERY AND LASER CENTER OF CAPITAL REGION, THE
  • Facility Address: 207 TROY-SCHENECTADY RD
    LATHAM, NY
    ZIP 12110
  • Facility Phone: 518 389-2869
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. GLENN W. THOMPSON
  • NPI Number: 1316499452
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2140192
LAB Type Ambulatory Surgery Center
Facility Name SPECIALTY EYE SURGERY AND LASER CENTER OF CAPITAL REGION, THE
Street 207 TROY-SCHENECTADY RD
City LATHAM
State NY
ZIP 12110
Phone 518 389-2869
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2017
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. GLENN W. THOMPSON

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