33D0158320 CLIA NUMBER - CAREMOUNT MEDICAL PC PERSONAL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D0158320
  • Facility Name: CAREMOUNT MEDICAL PC PERSONAL PEDIATRICS
  • Facility Address: 111 SYLVAN AVE
    MILLER PLACE, NY
    ZIP 11764
  • Facility Phone: 631 928-4888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JENNIFER A. BYRNE

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CLIA Record

Field Name Field Value
CLIA Number 33D0158320
LAB Type Physician Office
Facility Name CAREMOUNT MEDICAL PC PERSONAL PEDIATRICS
Street 111 SYLVAN AVE
City MILLER PLACE
State NY
ZIP 11764
Phone 631 928-4888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2022
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. JENNIFER A. BYRNE

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This page was last updated on: 3/20/2025