33D2154403 CLIA NUMBER - ELLIS MEDICINE MOHAWK HARBOR URGENT AND PRIMARY CARE LIMITED SERVICE LABORATORY

Laboratory Demographics

  • CLIA Code: 33D2154403
  • Facility Name: ELLIS MEDICINE MOHAWK HARBOR URGENT AND PRIMARY CARE LIMITED SERVICE LABORATORY
  • Facility Address: 200 HARBORSIDE DRIVE
    SCHENECTADY, NY
    ZIP 12305
  • Facility Phone: 518 881-4700
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. BERNARD T. NG
  • NPI Number: 1528548823
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2154403
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ELLIS MEDICINE MOHAWK HARBOR URGENT AND PRIMARY CARE LIMITED SERVICE LABORATORY
Street 200 HARBORSIDE DRIVE
City SCHENECTADY
State NY
ZIP 12305
Phone 518 881-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2018
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. BERNARD T. NG

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