33D0880777 CLIA NUMBER - DANIELE J KENNY MD PC

Laboratory Demographics

  • CLIA Code: 33D0880777
  • Facility Name: DANIELE J KENNY MD PC
  • Facility Address: 1312 MIDDLE COUNTRY RD
    SELDEN, NY
    ZIP 11784
  • Facility Phone: 631 698-6556
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DANIELE J. KENNY
  • NPI Number: 1396712006
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0880777
LAB Type Physician Office
Facility Name DANIELE J KENNY MD PC
Street 1312 MIDDLE COUNTRY RD
City SELDEN
State NY
ZIP 11784
Phone 631 698-6556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director DR. DANIELE J. KENNY

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