33D0872110 CLIA NUMBER - FIRST CHOICE MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D0872110
  • Facility Name: FIRST CHOICE MEDICAL PC
  • Facility Address: 203 UNION AVENUE
    HOLBROOK, NY
    ZIP 11741
  • Facility Phone: 631 585-5858
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LAWRENCE GOLDMAN
  • NPI Number: 1043355159
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0872110
LAB Type Physician Office
Facility Name FIRST CHOICE MEDICAL PC
Street 203 UNION AVENUE
City HOLBROOK
State NY
ZIP 11741
Phone 631 585-5858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Physician Office
Lab Director DR. LAWRENCE GOLDMAN

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