33D2172394 CLIA NUMBER - EVERETT ROAD SURGERY CENTER

Laboratory Demographics

CLIA Number: 33D2172394

Facility Name: EVERETT ROAD SURGERY CENTER

Facility Address:
123 EVERETT ROAD - 2ND FLOOR
ALBANY, NY
ZIP 12205
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Facility Phone Number: (518) 689-3723

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1164083911

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2172394
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	EVERETT ROAD SURGERY CENTER
Street	123 EVERETT ROAD - 2ND FLOOR
City	ALBANY
State	NY
ZIP	12205
Phone	(518) 689-3723

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This page was last updated on: 5/11/2023