33D0156860 CLIA NUMBER - PRIMARY PARTNERCARE PHYSICIANS, PLLC

Laboratory Demographics

  • CLIA Code: 33D0156860
  • Facility Name: PRIMARY PARTNERCARE PHYSICIANS, PLLC
  • Facility Address: 170 WEST MAIN STREET
    EAST ISLIP, NY
    ZIP 11730
  • Facility Phone: 631 581-2049
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES W. FERGUSON
  • NPI Number: 1730183013
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0156860
LAB Type Physician Office
Facility Name PRIMARY PARTNERCARE PHYSICIANS, PLLC
Street 170 WEST MAIN STREET
City EAST ISLIP
State NY
ZIP 11730
Phone 631 581-2049
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Physician Office
Lab Director DR. JAMES W. FERGUSON

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