33D0881145 CLIA NUMBER - AZIZ CHAUDRY MD

Laboratory Demographics

  • CLIA Code: 33D0881145
  • Facility Name: AZIZ CHAUDRY MD
  • Facility Address: 2 MEDICAL DR - SUITE B
    PORT JEFFERSON STATION, NY
    ZIP 11776
  • Facility Phone: 516 928-1414
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. JULIE FIRER
  • NPI Number: 1578645354
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0881145
LAB Type Physician Office
Facility Name AZIZ CHAUDRY MD
Street 2 MEDICAL DR - SUITE B
City PORT JEFFERSON STATION
State NY
ZIP 11776
Phone 516 928-1414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Physician Office
Lab Director MS. JULIE FIRER

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