33D2192456 CLIA NUMBER - HUDSON HEADWATERS WOMEN'S HEALTH

Laboratory Demographics

  • CLIA Code: 33D2192456
  • Facility Name: HUDSON HEADWATERS WOMEN'S HEALTH
  • Facility Address: 90 SOUTH ST
    GLENS FALLS, NY
    ZIP 12801
  • Facility Phone: 518 792-7841
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. WILLIAM M. BORGOS
  • NPI Number: 1154589083
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2192456
LAB Type Federally Qualified Health Center
Facility Name HUDSON HEADWATERS WOMEN'S HEALTH
Street 90 SOUTH ST
City GLENS FALLS
State NY
ZIP 12801
Phone 518 792-7841
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 9/10/2020
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: 6/4/2025