33D0665359 CLIA NUMBER - BRUCE K LOWELL MD

Laboratory Demographics

  • CLIA Code: 33D0665359
  • Facility Name: BRUCE K LOWELL MD
  • Facility Address: 1000 NORTHERN BLVD, SUITE 340
    GREAT NECK, NY
    ZIP 11021
  • Facility Phone: 516 482-0162
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRUCE K. LOWELL
  • NPI Number: 1912004805
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0665359
LAB Type Physician Office
Facility Name BRUCE K LOWELL MD
Street 1000 NORTHERN BLVD, SUITE 340
City GREAT NECK
State NY
ZIP 11021
Phone 516 482-0162
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type Physician Office
Lab Director BRUCE K. LOWELL

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