33D0706348 CLIA NUMBER - DOMINICK BASILE MD

Laboratory Demographics

  • CLIA Code: 33D0706348
  • Facility Name: DOMINICK BASILE MD
  • Facility Address: 7 ROSEMARY LANE
    CENTEREACH, NY
    ZIP 11720
  • Facility Phone: (516) 736-3015
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOMINICK BASILE
  • NPI Number: 1366531311
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D0706348
LAB Type Physician Office
Facility Name DOMINICK BASILE MD
Street 7 ROSEMARY LANE
City CENTEREACH
State NY
ZIP 11720
Phone 5167363015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DOMINICK BASILE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026