33D0863458 CLIA NUMBER - PRIMARY PARTNERCARE PHYSICIANS PLLC

Laboratory Demographics

  • CLIA Code: 33D0863458
  • Facility Name: PRIMARY PARTNERCARE PHYSICIANS PLLC
  • Facility Address: 400 WEST MAIN STREET SUITE 234
    BABYLON, NY
    ZIP 11702
  • Facility Phone: 631 321-4200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES A. STALLONE
  • NPI Number: 1144319096
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0863458
LAB Type Physician Office
Facility Name PRIMARY PARTNERCARE PHYSICIANS PLLC
Street 400 WEST MAIN STREET SUITE 234
City BABYLON
State NY
ZIP 11702
Phone 631 321-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Physician Office
Lab Director DR. JAMES A. STALLONE

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