33D2298873 CLIA NUMBER - COMMUNITY CARE PHYSICIANS, PLLC DBA CAPITAL REGION FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 33D2298873
  • Facility Name: COMMUNITY CARE PHYSICIANS, PLLC DBA CAPITAL REGION FAMILY MEDICINE
  • Facility Address: 6 WELLNESS WAY, SUITE 106
    LATHAM, NY
    ZIP 12110
  • Facility Phone: 518 980-9040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LUIS D. DIAZ
  • NPI Number: 1063276632
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2298873
LAB Type Physician Office
Facility Name COMMUNITY CARE PHYSICIANS, PLLC DBA CAPITAL REGION FAMILY MEDICINE
Street 6 WELLNESS WAY, SUITE 106
City LATHAM
State NY
ZIP 12110
Phone 518 980-9040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Physician Office
Lab Director DR. LUIS D. DIAZ

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