33D0158529 CLIA NUMBER - ADVANCED UROLOGY CENTERS OF NEW YORK - E PATCHOGUE A DIVISION OF INTEGRATED MEDICAL PROFESSIONALS

Laboratory Demographics

  • CLIA Code: 33D0158529
  • Facility Name: ADVANCED UROLOGY CENTERS OF NEW YORK - E PATCHOGUE A DIVISION OF INTEGRATED MEDICAL PROFESSIONALS
  • Facility Address: 250 PATCHOGUE YAPHANK ROAD, SUITE 11 B
    EAST PATCHOGUE, NY
    ZIP 11772
  • Facility Phone: 516 475-5051
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL W. KLEEMAN
  • NPI Number: 1982382438
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 33D0158529
LAB Type Physician Office
Facility Name ADVANCED UROLOGY CENTERS OF NEW YORK - E PATCHOGUE A DIVISION OF INTEGRATED MEDICAL PROFESSIONALS
Street 250 PATCHOGUE YAPHANK ROAD, SUITE 11 B
City EAST PATCHOGUE
State NY
ZIP 11772
Phone 516 475-5051
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Physician Office
Lab Director DR. MICHAEL W. KLEEMAN

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