33D0871412 CLIA NUMBER - MARJORIE J VAN DE STOUWE MD PC

Laboratory Demographics

  • CLIA Code: 33D0871412
  • Facility Name: MARJORIE J VAN DE STOUWE MD PC
  • Facility Address: 30 HEMPSTEAD AVENUE, SUITE 160
    ROCKVILLE CENTRE, NY
    ZIP 11570
  • Facility Phone: 516 872-8235
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARJORIE J. VANDESTOUWE
  • NPI Number: 1962427138
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0871412
LAB Type Physician Office
Facility Name MARJORIE J VAN DE STOUWE MD PC
Street 30 HEMPSTEAD AVENUE, SUITE 160
City ROCKVILLE CENTRE
State NY
ZIP 11570
Phone 516 872-8235
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Physician Office
Lab Director DR. MARJORIE J. VANDESTOUWE

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