33D0874053 CLIA NUMBER - FREDRIC COGAN MD

Laboratory Demographics

  • CLIA Code: 33D0874053
  • Facility Name: FREDRIC COGAN MD
  • Facility Address: 176 TULIP AVENUE
    FLORAL PARK, NY
    ZIP 11001
  • Facility Phone: 516 488-1717
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FREDRIC COGAN MD
  • NPI Number: 1649289968
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0874053
LAB Type Physician Office
Facility Name FREDRIC COGAN MD
Street 176 TULIP AVENUE
City FLORAL PARK
State NY
ZIP 11001
Phone 516 488-1717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Physician Office
Lab Director FREDRIC COGAN MD

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