33D0683314 CLIA NUMBER - JORGE L GARDYN MD FACP PC DBA NASSAU SUFFOLK INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 33D0683314
  • Facility Name: JORGE L GARDYN MD FACP PC DBA NASSAU SUFFOLK INTERNAL MEDICINE
  • Facility Address: 618 BROADWAY
    AMITYVILLE, NY
    ZIP 11701
  • Facility Phone: 516 795-5544
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JORGE L. GARDYN
  • NPI Number: 1629060983
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0683314
LAB Type Physician Office
Facility Name JORGE L GARDYN MD FACP PC DBA NASSAU SUFFOLK INTERNAL MEDICINE
Street 618 BROADWAY
City AMITYVILLE
State NY
ZIP 11701
Phone 516 795-5544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Physician Office
Lab Director DR. JORGE L. GARDYN

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