33D0883452 CLIA NUMBER - PATRICIA FORD MD FAAP

Laboratory Demographics

  • CLIA Code: 33D0883452
  • Facility Name: PATRICIA FORD MD FAAP
  • Facility Address: 71 OAK STREET
    AMITYVILLE, NY
    ZIP 11701
  • Facility Phone: 631 264-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PATRICIA A. FORD
  • NPI Number: 1073578621
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0883452
LAB Type Physician Office
Facility Name PATRICIA FORD MD FAAP
Street 71 OAK STREET
City AMITYVILLE
State NY
ZIP 11701
Phone 631 264-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director DR. PATRICIA A. FORD

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