33D0673043 CLIA NUMBER - ISLAND UROLOGICAL ASSOCIATES PC DIV OF IMP

Laboratory Demographics

  • CLIA Code: 33D0673043
  • Facility Name: ISLAND UROLOGICAL ASSOCIATES PC DIV OF IMP
  • Facility Address: 143 NORTH LONG BEACH RD, SUITE 1
    ROCKVILLE CENTRE, NY
    ZIP 11570
  • Facility Phone: 516 766-2929
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ERIC H. THALL
  • NPI Number: 1255418380
  • Taxonomy: 2088P0231X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 33D0673043
LAB Type Physician Office
Facility Name ISLAND UROLOGICAL ASSOCIATES PC DIV OF IMP
Street 143 NORTH LONG BEACH RD, SUITE 1
City ROCKVILLE CENTRE
State NY
ZIP 11570
Phone 516 766-2929
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 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Physician Office
Lab Director DR. ERIC H. THALL

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