33D0143620 CLIA NUMBER - NYU LANGONE AMBULATORY CARE LAKE SUCCESS - 2001 MARCUS AVE

Laboratory Demographics

  • CLIA Code: 33D0143620
  • Facility Name: NYU LANGONE AMBULATORY CARE LAKE SUCCESS - 2001 MARCUS AVE
  • Facility Address: 2001 MARCUS AVE
    NEW HYDE PARK, NY
    ZIP 11042
  • Facility Phone: 516 488-2757
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. MARK FIERSTEIN
  • NPI Number: 1114297389
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0143620
LAB Type Ancillary Testing Site in Health Care Center
Facility Name NYU LANGONE AMBULATORY CARE LAKE SUCCESS - 2001 MARCUS AVE
Street 2001 MARCUS AVE
City NEW HYDE PARK
State NY
ZIP 11042
Phone 516 488-2757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2017
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. MARK FIERSTEIN

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