33D2148303 CLIA NUMBER - ROSENDALE MEDICAL CENTER URGENT CARE

Laboratory Demographics

CLIA Number: 33D2148303

Facility Name: ROSENDALE MEDICAL CENTER URGENT CARE

Facility Address:
1089 RTE 32
ROSENDALE, NY
ZIP 12472
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Facility Phone Number: 845 658-9476

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1497256598

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2148303
LAB Type	Community Clinic
Facility Name	ROSENDALE MEDICAL CENTER URGENT CARE
Street	1089 RTE 32
City	ROSENDALE
State	NY
ZIP	12472
Phone	845 658-9476
CertificateType	4
CertificateEffectiveDate	5/8/2018
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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