33D0160273 CLIA NUMBER - OLD COUNTRY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D0160273
  • Facility Name: OLD COUNTRY PEDIATRICS
  • Facility Address: 556 OLD COUNTRY RD
    PLAINVIEW, NY
    ZIP 11803
  • Facility Phone: 516 938-3232
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. CHARLES L. BRUZZONE
  • NPI Number: 1184726960
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0160273
LAB Type Physician Office
Facility Name OLD COUNTRY PEDIATRICS
Street 556 OLD COUNTRY RD
City PLAINVIEW
State NY
ZIP 11803
Phone 516 938-3232
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 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Physician Office
Lab Director DR. CHARLES L. BRUZZONE

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