33D0171775 CLIA NUMBER - STONY BROOK PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D0171775
  • Facility Name: STONY BROOK PEDIATRICS
  • Facility Address: 22 RED JACKET ST
    DANSVILLE, NY
    ZIP 14437
  • Facility Phone: (585) 335-5200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOAN E. FLENDER
  • NPI Number: 1841364288
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0171775
LAB Type Physician Office
Facility Name STONY BROOK PEDIATRICS
Street 22 RED JACKET ST
City DANSVILLE
State NY
ZIP 14437
Phone 5853355200
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/23/2025
Certificate Expiration Date 12/22/2027
Facility Type Physician Office
Lab Director JOAN E. FLENDER

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This page was last updated on: 5/18/2026