33D2204707 CLIA NUMBER - LASALLE SCHOOL

Laboratory Demographics

  • CLIA Code: 33D2204707
  • Facility Name: LASALLE SCHOOL
  • Facility Address: 391 WESTERN AVE
    ALBANY, NY
    ZIP 12205
  • Facility Phone: 518 242-4731
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DR. DIANE C. TENENBAUM
  • NPI Number: 1316302284
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2204707
LAB Type School/Student Health Service
Facility Name LASALLE SCHOOL
Street 391 WESTERN AVE
City ALBANY
State NY
ZIP 12205
Phone 518 242-4731
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2020
Certificate Expiration Date 3/26/2027
Facility Type School/Student Health Service
Lab Director DR. DIANE C. TENENBAUM

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