33D0719496 CLIA NUMBER - CATHOLIC HOME CARE

Laboratory Demographics

  • CLIA Code: 33D0719496
  • Facility Name: CATHOLIC HOME CARE
  • Facility Address: 110 BI-COUNTRY BLVD - SUITE 114
    FARMINGDALE, NY
    ZIP 11735
  • Facility Phone: 631 828-7409
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. TAREK S. ZETOUNE
  • NPI Number: 1780670711
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 33D0719496
LAB Type Home Health Agency
Facility Name CATHOLIC HOME CARE
Street 110 BI-COUNTRY BLVD - SUITE 114
City FARMINGDALE
State NY
ZIP 11735
Phone 631 828-7409
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/1994
Certificate Expiration Date 3/26/2027
Facility Type Home Health Agency
Lab Director DR. TAREK S. ZETOUNE

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