33D0159335 CLIA NUMBER - SMITHTOWN PRIMARY MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D0159335
  • Facility Name: SMITHTOWN PRIMARY MEDICAL CARE PC
  • Facility Address: 100 MAPLE AVENUE
    SMITHTOWN, NY
    ZIP 11787
  • Facility Phone: 631 265-7671
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. RONALD R. ROTH
  • NPI Number: 1326243536
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0159335
LAB Type Physician Office
Facility Name SMITHTOWN PRIMARY MEDICAL CARE PC
Street 100 MAPLE AVENUE
City SMITHTOWN
State NY
ZIP 11787
Phone 631 265-7671
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 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Physician Office
Lab Director DR. RONALD R. ROTH

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