33D0155160 CLIA NUMBER - ROMAN URBANCZYK MD

Laboratory Demographics

  • CLIA Code: 33D0155160
  • Facility Name: ROMAN URBANCZYK MD
  • Facility Address: 15 FLETCHER AVE
    VALLEY STREAM, NY
    ZIP 11580
  • Facility Phone: 516 825-3666
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AARON T. LENT MD
  • NPI Number: 1114933918
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0155160
LAB Type Physician Office
Facility Name ROMAN URBANCZYK MD
Street 15 FLETCHER AVE
City VALLEY STREAM
State NY
ZIP 11580
Phone 516 825-3666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director AARON T. LENT MD

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