33D2301597 CLIA NUMBER - ANTONIO IZZO HUDSON FALLS FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 33D2301597
  • Facility Name: ANTONIO IZZO HUDSON FALLS FAMILY PRACTICE
  • Facility Address: 340A MAIN STREET
    HUDSON FALLS, NY
    ZIP 12839
  • Facility Phone: 518 747-4117
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTONIO IZZO
  • NPI Number: 1720405863
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 33D2301597
LAB Type Physician Office
Facility Name ANTONIO IZZO HUDSON FALLS FAMILY PRACTICE
Street 340A MAIN STREET
City HUDSON FALLS
State NY
ZIP 12839
Phone 518 747-4117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Physician Office
Lab Director ANTONIO IZZO

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