33D0857638 CLIA NUMBER - PETER J RAIA

Laboratory Demographics

  • CLIA Code: 33D0857638
  • Facility Name: PETER J RAIA
  • Facility Address: 89 JOBS LANE
    SOUTHAMPTON, NY
    ZIP 11968
  • Facility Phone: 631 283-9526
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER J. RAIA
  • NPI Number: 1427178508
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0857638
LAB Type Physician Office
Facility Name PETER J RAIA
Street 89 JOBS LANE
City SOUTHAMPTON
State NY
ZIP 11968
Phone 631 283-9526
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Physician Office
Lab Director PETER J. RAIA

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