33D2317958 CLIA NUMBER - CITIZEN ADVOCATES

Laboratory Demographics

CLIA Code: 33D2317958
Facility Name: CITIZEN ADVOCATES
Facility Address: 31 SIXTH ST
MALONE, NY
ZIP 12953
Facility Phone: 518 483-3261
Facility Type: Community Clinic
Facility Type: Waiver
Lab Director: DR. ASHLEY M. LAVALLEY
NPI Number: 1639391733
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	33D2317958
LAB Type	Community Clinic
Facility Name	CITIZEN ADVOCATES
Street	31 SIXTH ST
City	MALONE
State	NY
ZIP	12953
Phone	518 483-3261
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	2/4/2025
Certificate Expiration Date	3/26/2027
Facility Type	Community Clinic
Lab Director	DR. ASHLEY M. LAVALLEY

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