33D0158919 CLIA NUMBER - LONG ISLAND COMPREHENSIVE MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D0158919
  • Facility Name: LONG ISLAND COMPREHENSIVE MEDICAL CARE PC
  • Facility Address: 382 ROSEVALE AVENUE
    RONKONKOMA, NY
    ZIP 11779
  • Facility Phone: 631 981-9143
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KHALID NOORI
  • NPI Number: 1962734541
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D0158919
LAB Type Physician Office
Facility Name LONG ISLAND COMPREHENSIVE MEDICAL CARE PC
Street 382 ROSEVALE AVENUE
City RONKONKOMA
State NY
ZIP 11779
Phone 631 981-9143
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Physician Office
Lab Director DR. KHALID NOORI

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