33D0722815 CLIA NUMBER - HOWARD KNOLL MD

Laboratory Demographics

  • CLIA Code: 33D0722815
  • Facility Name: HOWARD KNOLL MD
  • Facility Address: 896 BROADWAY
    MASSAPEQUA, NY
    ZIP 11758
  • Facility Phone: 516 798-5552
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOWARD KNOLL
  • NPI Number: 1700994589
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0722815
LAB Type Physician Office
Facility Name HOWARD KNOLL MD
Street 896 BROADWAY
City MASSAPEQUA
State NY
ZIP 11758
Phone 516 798-5552
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 HOWARD KNOLL

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This page was last updated on: 9/29/2025