33D0920762 CLIA NUMBER - THREE VILLAGE WOMEN'S HEALTH LLP DIVISION OF WOMEN'S HEALTH PROFESSIONALS, LLP

Laboratory Demographics

  • CLIA Code: 33D0920762
  • Facility Name: THREE VILLAGE WOMEN'S HEALTH LLP DIVISION OF WOMEN'S HEALTH PROFESSIONALS, LLP
  • Facility Address: 100 SOUTH JERSEY AVENUE, SUITE 16
    EAST SETAUKET, NY
    ZIP 11733
  • Facility Phone: 631 689-6400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DEBORAH M. DAVENPORT
  • NPI Number: 1306114392
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 33D0920762
LAB Type Physician Office
Facility Name THREE VILLAGE WOMEN'S HEALTH LLP DIVISION OF WOMEN'S HEALTH PROFESSIONALS, LLP
Street 100 SOUTH JERSEY AVENUE, SUITE 16
City EAST SETAUKET
State NY
ZIP 11733
Phone 631 689-6400
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 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Physician Office
Lab Director DR. DEBORAH M. DAVENPORT

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