33D0681571 CLIA NUMBER - LILLIAN E STACHTIARIS MD

Laboratory Demographics

  • CLIA Code: 33D0681571
  • Facility Name: LILLIAN E STACHTIARIS MD
  • Facility Address: 520 FRANKLIN AVENUE
    GARDEN CITY, NY
    ZIP 11530
  • Facility Phone: 516 741-7600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LILLIAN E. STACHTIARIS
  • NPI Number: 1649382649
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0681571
LAB Type Physician Office
Facility Name LILLIAN E STACHTIARIS MD
Street 520 FRANKLIN AVENUE
City GARDEN CITY
State NY
ZIP 11530
Phone 516 741-7600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director DR. LILLIAN E. STACHTIARIS

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