33D0692170 CLIA NUMBER - STONY BROOK DERMATOLOGY ASSOCIATES UFPC

Laboratory Demographics

  • CLIA Code: 33D0692170
  • Facility Name: STONY BROOK DERMATOLOGY ASSOCIATES UFPC
  • Facility Address: 1320 STONY BROOK ROAD BLDG F 200
    STONY BROOK, NY
    ZIP 11790
  • Facility Phone: 631 638-4215
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. EVAN C. JONES
  • NPI Number: 1538114707
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 33D0692170
LAB Type Physician Office
Facility Name STONY BROOK DERMATOLOGY ASSOCIATES UFPC
Street 1320 STONY BROOK ROAD BLDG F 200
City STONY BROOK
State NY
ZIP 11790
Phone 631 638-4215
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 7/29/2010
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. EVAN C. JONES

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This page was last updated on: 6/4/2025