33D2308078 CLIA NUMBER - PLATTSBURGH PEDIATRIC AND ADOLESCENT HEALTH

Laboratory Demographics

  • CLIA Code: 33D2308078
  • Facility Name: PLATTSBURGH PEDIATRIC AND ADOLESCENT HEALTH
  • Facility Address: 25 DEGRANDPRE WAY
    PLATTSBURGH, NY
    ZIP 12901
  • Facility Phone: 518 824-2563
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. CHRISTINA A. GALLUS
  • NPI Number: 1376328153
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2308078
LAB Type Federally Qualified Health Center
Facility Name PLATTSBURGH PEDIATRIC AND ADOLESCENT HEALTH
Street 25 DEGRANDPRE WAY
City PLATTSBURGH
State NY
ZIP 12901
Phone 518 824-2563
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 7/22/2024
Certificate Expiration Date 3/26/2027
Facility Type Federally Qualified Health Center
Lab Director DR. CHRISTINA A. GALLUS

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