33D0894724 CLIA NUMBER - ADVANCED UROLOGY CENTERS OF NY - GARDEN CITY EAST DIVISION OF INTEGRATED MEDICAL PROFESSIONALS PLLC

Laboratory Demographics

  • CLIA Code: 33D0894724
  • Facility Name: ADVANCED UROLOGY CENTERS OF NY - GARDEN CITY EAST DIVISION OF INTEGRATED MEDICAL PROFESSIONALS PLLC
  • Facility Address: 585 STEWART AVENUE, SUITE L 14
    GARDEN CITY, NY
    ZIP 11530
  • Facility Phone: 516 873-5353
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. BRETT C. MELLINGER
  • NPI Number: 1134176662
  • Taxonomy: 207Y00000X - Otolaryngology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D0894724
LAB Type Physician Office
Facility Name ADVANCED UROLOGY CENTERS OF NY - GARDEN CITY EAST DIVISION OF INTEGRATED MEDICAL PROFESSIONALS PLLC
Street 585 STEWART AVENUE, SUITE L 14
City GARDEN CITY
State NY
ZIP 11530
Phone 516 873-5353
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Physician Office
Lab Director DR. BRETT C. MELLINGER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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