33D0156442 CLIA NUMBER - VINCENT R LEDDY MD PC

Laboratory Demographics

  • CLIA Code: 33D0156442
  • Facility Name: VINCENT R LEDDY MD PC
  • Facility Address: 160 FOURTH STREET
    BRENTWOOD, NY
    ZIP 11717
  • Facility Phone: 631 273-7105
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. VINCENT R. LEDDY
  • NPI Number: 1538201231
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0156442
LAB Type Physician Office
Facility Name VINCENT R LEDDY MD PC
Street 160 FOURTH STREET
City BRENTWOOD
State NY
ZIP 11717
Phone 631 273-7105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Physician Office
Lab Director DR. VINCENT R. LEDDY

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