33D0895528 CLIA NUMBER - A & E OB/GYN

Laboratory Demographics

  • CLIA Code: 33D0895528
  • Facility Name: A & E OB/GYN
  • Facility Address: 747 MONTAUK HIGHWAY
    WEST ISLIP, NY
    ZIP 11795
  • Facility Phone: 631 587-4800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD J. KLEIN
  • NPI Number: 1770715526
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0895528
LAB Type Physician Office
Facility Name A & E OB/GYN
Street 747 MONTAUK HIGHWAY
City WEST ISLIP
State NY
ZIP 11795
Phone 631 587-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Physician Office
Lab Director DR. RICHARD J. KLEIN

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