33D0143495 CLIA NUMBER - ADVANCED UROLOGY CENTERS OF NY MANHASETT DIVISION DIVISION OF INTEGRATED MEDICAL PROFESSIONALS, PLLC

Laboratory Demographics

  • CLIA Code: 33D0143495
  • Facility Name: ADVANCED UROLOGY CENTERS OF NY MANHASETT DIVISION DIVISION OF INTEGRATED MEDICAL PROFESSIONALS, PLLC
  • Facility Address: 535 PLANDOME ROAD
    MANHASSET, NY
    ZIP 11030
  • Facility Phone: 516 627-6188
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ILAN J. SAFIR
  • NPI Number: 1922119007
  • Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier

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CLIA Record

Field Name Field Value
CLIA Number 33D0143495
LAB Type Physician Office
Facility Name ADVANCED UROLOGY CENTERS OF NY MANHASETT DIVISION DIVISION OF INTEGRATED MEDICAL PROFESSIONALS, PLLC
Street 535 PLANDOME ROAD
City MANHASSET
State NY
ZIP 11030
Phone 516 627-6188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Physician Office
Lab Director DR. ILAN J. SAFIR

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This page was last updated on: 3/20/2025