33D2173314 CLIA NUMBER - OLDENDORF MEDICAL SERVICES PLLC

Laboratory Demographics

  • CLIA Code: 33D2173314
  • Facility Name: OLDENDORF MEDICAL SERVICES PLLC
  • Facility Address: 21 EVERETT ROAD EXTENSION
    ALBANY, NY
    ZIP 12205
  • Facility Phone: 518 326-6669
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARK W. OLDENDORF
  • NPI Number: 1912545344
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2173314
LAB Type Physician Office
Facility Name OLDENDORF MEDICAL SERVICES PLLC
Street 21 EVERETT ROAD EXTENSION
City ALBANY
State NY
ZIP 12205
Phone 518 326-6669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2023
Certificate Expiration Date 10/8/2025
Facility Type Physician Office
Lab Director DR. MARK W. OLDENDORF

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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