33D2288633 CLIA NUMBER - COMMUNITY CARE PHYSICIANS PLLC COMMUNITY CARE FAMILY PRACTICE BALLSTON SPA

Laboratory Demographics

  • CLIA Code: 33D2288633
  • Facility Name: COMMUNITY CARE PHYSICIANS PLLC COMMUNITY CARE FAMILY PRACTICE BALLSTON SPA
  • Facility Address: 20 PROSPECT STREET, SUITE 106
    BALLSTON SPA, NY
    ZIP 12020
  • Facility Phone: 518 885-3755
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATIE DUNNE
  • NPI Number: 1548541246
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2288633
LAB Type Physician Office
Facility Name COMMUNITY CARE PHYSICIANS PLLC COMMUNITY CARE FAMILY PRACTICE BALLSTON SPA
Street 20 PROSPECT STREET, SUITE 106
City BALLSTON SPA
State NY
ZIP 12020
Phone 518 885-3755
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Physician Office
Lab Director KATIE DUNNE

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