33D2287804 CLIA NUMBER - FUSION RECOVERY CENTERS LLC

Laboratory Demographics

  • CLIA Code: 33D2287804
  • Facility Name: FUSION RECOVERY CENTERS LLC
  • Facility Address: 444 BROADWAY
    MENANDS, NY
    ZIP 12204
  • Facility Phone: 518 650-2966
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DR. KENT HOFFMAN
  • NPI Number: 1386394310
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2287804
LAB Type Comp. Outpatient Rehab Facility
Facility Name FUSION RECOVERY CENTERS LLC
Street 444 BROADWAY
City MENANDS
State NY
ZIP 12204
Phone 518 650-2966
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2023
Certificate Expiration Date 3/26/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. KENT HOFFMAN

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