33D2289721 CLIA NUMBER - PINE STREET FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 33D2289721
  • Facility Name: PINE STREET FAMILY HEALTH CENTER
  • Facility Address: 140 PINE ST
    KINGSTON, NY
    ZIP 12401
  • Facility Phone: (845) 546-8410
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. MARTA M. SANCHEZ

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CLIA Record

Field Name Field Value
CLIA Number 33D2289721
LAB Type Federally Qualified Health Center
Facility Name PINE STREET FAMILY HEALTH CENTER
Street 140 PINE ST
City KINGSTON
State NY
ZIP 12401
Phone 8455468410
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 9/14/2023
Certificate Expiration Date 3/26/2027
Facility Type Federally Qualified Health Center
Lab Director DR. MARTA M. SANCHEZ

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This page was last updated on: 6/29/2026