33D0870391 CLIA NUMBER - DEBORAH J LIEF DIENSTAG MD

Laboratory Demographics

  • CLIA Code: 33D0870391
  • Facility Name: DEBORAH J LIEF DIENSTAG MD
  • Facility Address: 379 BROADWAY
    LAWRENCE, NY
    ZIP 11559
  • Facility Phone: 516 569-4768
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DEBORAH J. LIEF-DIENSTAG
  • NPI Number: 1407933450
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0870391
LAB Type Physician Office
Facility Name DEBORAH J LIEF DIENSTAG MD
Street 379 BROADWAY
City LAWRENCE
State NY
ZIP 11559
Phone 516 569-4768
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Physician Office
Lab Director DR. DEBORAH J. LIEF-DIENSTAG

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