33D2299384 CLIA NUMBER - EDWARD P THOMPSON NURSE PRACTITONER OF PSYCHIATRY, PLLC

Laboratory Demographics

  • CLIA Code: 33D2299384
  • Facility Name: EDWARD P THOMPSON NURSE PRACTITONER OF PSYCHIATRY, PLLC
  • Facility Address: 61 ROWLAND ST SUITE 203
    BALLSTON SPA, NY
    ZIP 12020
  • Facility Phone: 518 704-3866
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: EDWARD P. THOMPSON
  • NPI Number: 1700960929
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 33D2299384
LAB Type Practitioner Other
Facility Name EDWARD P THOMPSON NURSE PRACTITONER OF PSYCHIATRY, PLLC
Street 61 ROWLAND ST SUITE 203
City BALLSTON SPA
State NY
ZIP 12020
Phone 518 704-3866
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Practitioner Other
Lab Director EDWARD P. THOMPSON

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