33D0869006 CLIA NUMBER - DOCTOR'S MEDICAL OFFICE PLLC, THE

Laboratory Demographics

  • CLIA Code: 33D0869006
  • Facility Name: DOCTOR'S MEDICAL OFFICE PLLC, THE
  • Facility Address: 1825 MERRICK AVENUE
    MERRICK, NY
    ZIP 11566
  • Facility Phone: 516 867-5132
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARK H. HALTRECHT
  • NPI Number: 1164848818
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0869006
LAB Type Physician Office
Facility Name DOCTOR'S MEDICAL OFFICE PLLC, THE
Street 1825 MERRICK AVENUE
City MERRICK
State NY
ZIP 11566
Phone 516 867-5132
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Physician Office
Lab Director DR. MARK H. HALTRECHT

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