33D0157449 CLIA NUMBER - CHS PHYSICIAN PARTNERS PC

Laboratory Demographics

  • CLIA Code: 33D0157449
  • Facility Name: CHS PHYSICIAN PARTNERS PC
  • Facility Address: 111 BEACH DRIVE
    WEST ISLIP, NY
    ZIP 11795
  • Facility Phone: 631 417-8600
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MARY PUCCIO
  • NPI Number: 1659502425
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0157449
LAB Type Physician Office
Facility Name CHS PHYSICIAN PARTNERS PC
Street 111 BEACH DRIVE
City WEST ISLIP
State NY
ZIP 11795
Phone 631 417-8600
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/9/2016
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. MARY PUCCIO

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