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33D2212677 CLIA NUMBER - SCHENECTADY VA CLINIC

Laboratory Demographics

CLIA Number: 33D2212677

Facility Name: SCHENECTADY VA CLINIC

Facility Address:
1400 ALTAMONT AVE, SUITE190
SCHENECTADY, NY
ZIP 12303
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Facility Phone Number: 518 346-3334

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver
NPI Number: 1700941804

Taxonomy: 251300000X - Local Education Agency (LEA)
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

CLIA Record

Field Name Field Value
CLIA Number 33D2212677
LAB Type Ancillary Testing Site in Health Care Center
Facility Name SCHENECTADY VA CLINIC
Street 1400 ALTAMONT AVE, SUITE190
City SCHENECTADY
State NY
ZIP 12303
Phone 518 346-3334
CertificateType 4
CertificateEffectiveDate 2/5/2021
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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This page was last updated on: 4/23/2024