33D2180241 CLIA NUMBER - WEST MOUNTAIN FAMILY HEALTH

Laboratory Demographics

  • CLIA Code: 33D2180241
  • Facility Name: WEST MOUNTAIN FAMILY HEALTH
  • Facility Address: 161 CAREY RD - BLDG 2
    QUEENSBURY, NY
    ZIP 12804
  • Facility Phone: 518 824-8610
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. WILLIAM M. BORGOS
  • NPI Number: 1528152386
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2180241
LAB Type Federally Qualified Health Center
Facility Name WEST MOUNTAIN FAMILY HEALTH
Street 161 CAREY RD - BLDG 2
City QUEENSBURY
State NY
ZIP 12804
Phone 518 824-8610
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/10/2020
Certificate Expiration Date 3/26/2027
Facility Type Federally Qualified Health Center
Lab Director DR. WILLIAM M. BORGOS

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