33D0684576 CLIA NUMBER - MICHAEL BENHURI MD

Laboratory Demographics

CLIA Number: 33D0684576

Facility Name: MICHAEL BENHURI MD

Facility Address:
1025 N BROADWAY
MASSAPEQUA, NY
ZIP 11758
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Facility Phone Number: 516 249-3138

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1902102627

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	33D0684576
LAB Type	Physician Office
Facility Name	MICHAEL BENHURI MD
Street	1025 N BROADWAY
City	MASSAPEQUA
State	NY
ZIP	11758
Phone	516 249-3138
CertificateType	2
CertificateEffectiveDate	5/8/2023
CertificateExpirationDate	5/7/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024