33D0678450 CLIA NUMBER - BODIAN DERMATOLOGY GROUP PC

Laboratory Demographics

  • CLIA Code: 33D0678450
  • Facility Name: BODIAN DERMATOLOGY GROUP PC
  • Facility Address: 11 GRACE AVENUE, SUITE 100
    GREAT NECK, NY
    ZIP 11021
  • Facility Phone: 516 482-2882
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MARY T. PARISI
  • NPI Number: 1659412104
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D0678450
LAB Type Physician Office
Facility Name BODIAN DERMATOLOGY GROUP PC
Street 11 GRACE AVENUE, SUITE 100
City GREAT NECK
State NY
ZIP 11021
Phone 516 482-2882
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/13/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. MARY T. PARISI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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