33D0698873 CLIA NUMBER - UROLOGY INSTITUTE OF LONG ISLAND - DIVISION OF INTEGRATED MEDICAL PROFESSIONALS PLLC

Laboratory Demographics

  • CLIA Code: 33D0698873
  • Facility Name: UROLOGY INSTITUTE OF LONG ISLAND - DIVISION OF INTEGRATED MEDICAL PROFESSIONALS PLLC
  • Facility Address: 700 OLD COUNTRY ROAD, SUITE 100
    PLAINVIEW, NY
    ZIP 11803
  • Facility Phone: 516 433-0262
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THEODORE P. FELDERMAN

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CLIA Record

Field Name Field Value
CLIA Number 33D0698873
LAB Type Physician Office
Facility Name UROLOGY INSTITUTE OF LONG ISLAND - DIVISION OF INTEGRATED MEDICAL PROFESSIONALS PLLC
Street 700 OLD COUNTRY ROAD, SUITE 100
City PLAINVIEW
State NY
ZIP 11803
Phone 516 433-0262
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director THEODORE P. FELDERMAN

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This page was last updated on: 3/20/2025