33D2172737 CLIA NUMBER - BROADALBIN-PERTH FAMILY HEALTH CARDONDELET REGIONAL MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2172737
  • Facility Name: BROADALBIN-PERTH FAMILY HEALTH CARDONDELET REGIONAL MEDICAL PC
  • Facility Address: 3768 STATE HWY 30
    BROADALBIN, NY
    ZIP 12025
  • Facility Phone: 518 883-3121
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHARLES F. SCHWARTZ
  • NPI Number: 1538212907
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 33D2172737
LAB Type Physician Office
Facility Name BROADALBIN-PERTH FAMILY HEALTH CARDONDELET REGIONAL MEDICAL PC
Street 3768 STATE HWY 30
City BROADALBIN
State NY
ZIP 12025
Phone 518 883-3121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2019
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. CHARLES F. SCHWARTZ

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