33D2148508 CLIA NUMBER - ACTIVE MEDICAL CARE PC CRESCENT PAIN & SPINE/NJ PAIN AND SPINE

Laboratory Demographics

  • CLIA Code: 33D2148508
  • Facility Name: ACTIVE MEDICAL CARE PC CRESCENT PAIN & SPINE/NJ PAIN AND SPINE
  • Facility Address: 275 NORTH MIDDLETOWN ROAD, SUITE 1F
    PEARL RIVER, NY
    ZIP 10965
  • Facility Phone: 845 920-8300
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. YVONNE A. LUE
  • NPI Number: 1154813137
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 33D2148508
LAB Type Physician Office
Facility Name ACTIVE MEDICAL CARE PC CRESCENT PAIN & SPINE/NJ PAIN AND SPINE
Street 275 NORTH MIDDLETOWN ROAD, SUITE 1F
City PEARL RIVER
State NY
ZIP 10965
Phone 845 920-8300
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/3/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. YVONNE A. LUE

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