33D0670744 CLIA NUMBER - PRINE HEALTH MEDICAL GROUP, PLLC

Laboratory Demographics

  • CLIA Code: 33D0670744
  • Facility Name: PRINE HEALTH MEDICAL GROUP, PLLC
  • Facility Address: 1800 ROCKAWAY AVENUE SUITE 212
    HEWLETT, NY
    ZIP 11557
  • Facility Phone: (516) 593-1838
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AARON B. GROTAS
  • NPI Number: 1144020132
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 33D0670744
LAB Type Physician Office
Facility Name PRINE HEALTH MEDICAL GROUP, PLLC
Street 1800 ROCKAWAY AVENUE SUITE 212
City HEWLETT
State NY
ZIP 11557
Phone 5165931838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2026
Certificate Expiration Date 3/23/2028
Facility Type Physician Office
Lab Director DR. AARON B. GROTAS

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