33D2287776 CLIA NUMBER - MICHELLE RYAN FAMILY HEALTH NURSE PRACTITIONER, PLLC

Laboratory Demographics

  • CLIA Code: 33D2287776
  • Facility Name: MICHELLE RYAN FAMILY HEALTH NURSE PRACTITIONER, PLLC
  • Facility Address: 2554 ROUTE 9, SUITE 2
    BALLSTON SPA, NY
    ZIP 12020
  • Facility Phone: 518 899-5002
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MICHELLE L. RYAN
  • NPI Number: 1144316662
  • Taxonomy: 363LF0000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2287776
LAB Type Practitioner Other
Facility Name MICHELLE RYAN FAMILY HEALTH NURSE PRACTITIONER, PLLC
Street 2554 ROUTE 9, SUITE 2
City BALLSTON SPA
State NY
ZIP 12020
Phone 518 899-5002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Practitioner Other
Lab Director MICHELLE L. RYAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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