33D0709184 CLIA NUMBER - JAY P SLOTKIN MD MPH

Laboratory Demographics

  • CLIA Code: 33D0709184
  • Facility Name: JAY P SLOTKIN MD MPH
  • Facility Address: PO BOX 1437
    SOUTHOLD, NY
    ZIP 11971
  • Facility Phone: 516 765-1414
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAY P. SLOTKIN
  • NPI Number: 1780650226
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0709184
LAB Type Physician Office
Facility Name JAY P SLOTKIN MD MPH
Street PO BOX 1437
City SOUTHOLD
State NY
ZIP 11971
Phone 516 765-1414
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 JAY P. SLOTKIN

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