33D2222769 CLIA NUMBER - MOSHE KUPFERSTEIN MEDICINE PC DBA MAIMON CARE

Laboratory Demographics

  • CLIA Code: 33D2222769
  • Facility Name: MOSHE KUPFERSTEIN MEDICINE PC DBA MAIMON CARE
  • Facility Address: 432A ROUTE 52 CAMP OPEN JUNE-AUGUST
    WOODBOURNE, NY
    ZIP 12788
  • Facility Phone: 845 436-6666
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MOSHE KUPFERSTEIN
  • NPI Number: 1518551936
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2222769
LAB Type Physician Office
Facility Name MOSHE KUPFERSTEIN MEDICINE PC DBA MAIMON CARE
Street 432A ROUTE 52 CAMP OPEN JUNE-AUGUST
City WOODBOURNE
State NY
ZIP 12788
Phone 845 436-6666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Physician Office
Lab Director DR. MOSHE KUPFERSTEIN

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