33D2190873 CLIA NUMBER - MIDDLETOWN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D2190873
  • Facility Name: MIDDLETOWN PEDIATRICS
  • Facility Address: 212 CRYSTAL RUN RD
    MIDDLETOWN, NY
    ZIP 10941
  • Facility Phone: 845 281-7667
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EMILY RIVERA-BROWN
  • NPI Number: 1255084729
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 33D2190873
LAB Type Physician Office
Facility Name MIDDLETOWN PEDIATRICS
Street 212 CRYSTAL RUN RD
City MIDDLETOWN
State NY
ZIP 10941
Phone 845 281-7667
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2020
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. EMILY RIVERA-BROWN

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