33D2313757 CLIA NUMBER - MIDDLETOWN MEDICAL PC DBA PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 33D2313757
  • Facility Name: MIDDLETOWN MEDICAL PC DBA PRIMARY CARE
  • Facility Address: 47 NORTH PLANK ROAD
    NEWBURGH, NY
    ZIP 12550
  • Facility Phone: 845 342-4774
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. VIJAYALAKSHMI RAMPAM
  • NPI Number: 1790227536
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2313757
LAB Type Physician Office
Facility Name MIDDLETOWN MEDICAL PC DBA PRIMARY CARE
Street 47 NORTH PLANK ROAD
City NEWBURGH
State NY
ZIP 12550
Phone 845 342-4774
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Physician Office
Lab Director DR. VIJAYALAKSHMI RAMPAM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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