33D2223025 CLIA NUMBER - NEW YORK NEPHROLOGY AND DIALYSIS ACCESS SURGERY PC

Laboratory Demographics

  • CLIA Code: 33D2223025
  • Facility Name: NEW YORK NEPHROLOGY AND DIALYSIS ACCESS SURGERY PC
  • Facility Address: 1785 ROUTE 9, SUITE 102
    CLIFTON PARK, NY
    ZIP 12065
  • Facility Phone: 518 579-6945
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MICHAEL H. GALLICHIO
  • NPI Number: 1528696259
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 33D2223025
LAB Type Physician Office
Facility Name NEW YORK NEPHROLOGY AND DIALYSIS ACCESS SURGERY PC
Street 1785 ROUTE 9, SUITE 102
City CLIFTON PARK
State NY
ZIP 12065
Phone 518 579-6945
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 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Physician Office
Lab Director DR. MICHAEL H. GALLICHIO

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