33D0654091 CLIA NUMBER - NYU LANGONE HOSPITAL - LONG ISLAND HOME HEALTH AGENCY

Laboratory Demographics

  • CLIA Code: 33D0654091
  • Facility Name: NYU LANGONE HOSPITAL - LONG ISLAND HOME HEALTH AGENCY
  • Facility Address: 290 OLD COUNTRY ROAD
    MINEOLA, NY
    ZIP 11501
  • Facility Phone: 516 663-8000
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. JONATHAN MELAMED
  • NPI Number: 1215931811
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 33D0654091
LAB Type Home Health Agency
Facility Name NYU LANGONE HOSPITAL - LONG ISLAND HOME HEALTH AGENCY
Street 290 OLD COUNTRY ROAD
City MINEOLA
State NY
ZIP 11501
Phone 516 663-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/1994
Certificate Expiration Date 3/26/2027
Facility Type Home Health Agency
Lab Director DR. JONATHAN MELAMED

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