33D0870133 CLIA NUMBER - NSHOA DBA NEW YORK HEALTH - BAYPORT PCP

Laboratory Demographics

  • CLIA Code: 33D0870133
  • Facility Name: NSHOA DBA NEW YORK HEALTH - BAYPORT PCP
  • Facility Address: 581 MIDDLE ROAD
    BAYPORT, NY
    ZIP 11705
  • Facility Phone: 631 663-4871
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT ROCHE MD
  • NPI Number: 1881695500
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0870133
LAB Type Physician Office
Facility Name NSHOA DBA NEW YORK HEALTH - BAYPORT PCP
Street 581 MIDDLE ROAD
City BAYPORT
State NY
ZIP 11705
Phone 631 663-4871
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 DR. ROBERT ROCHE MD

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