33D2243453 CLIA NUMBER - KATHLEEN ENNABI MD BOSTON CHILDREN'S HEALTH PHYSICIANS

Laboratory Demographics

  • CLIA Code: 33D2243453
  • Facility Name: KATHLEEN ENNABI MD BOSTON CHILDREN'S HEALTH PHYSICIANS
  • Facility Address: 2529 RTE 52 - SUITE 3
    HOPEWELL JUNCTION, NY
    ZIP 12533
  • Facility Phone: 845 227-0123
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KATHLEEN ENNABI
  • NPI Number: 1427040708
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2243453
LAB Type Physician Office
Facility Name KATHLEEN ENNABI MD BOSTON CHILDREN'S HEALTH PHYSICIANS
Street 2529 RTE 52 - SUITE 3
City HOPEWELL JUNCTION
State NY
ZIP 12533
Phone 845 227-0123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2021
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. KATHLEEN ENNABI

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