33D0158783 CLIA NUMBER - NORTH COUNTRY PRIMARY MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 33D0158783
  • Facility Name: NORTH COUNTRY PRIMARY MEDICAL CARE
  • Facility Address: 140 BELLE MEADE RD - SUITE K
    EAST SETAUKET, NY
    ZIP 11733
  • Facility Phone: 631 821-8911
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. POLLYTIA PANAGIOTOU
  • NPI Number: 1689851115
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0158783
LAB Type Physician Office
Facility Name NORTH COUNTRY PRIMARY MEDICAL CARE
Street 140 BELLE MEADE RD - SUITE K
City EAST SETAUKET
State NY
ZIP 11733
Phone 631 821-8911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2019
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. POLLYTIA PANAGIOTOU

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This page was last updated on: 6/4/2025