33D0921868 CLIA NUMBER - JAMES R PELLEGRINI MD

Laboratory Demographics

  • CLIA Code: 33D0921868
  • Facility Name: JAMES R PELLEGRINI MD
  • Facility Address: 400 GLEN COVE AVENUE
    SEA CLIFF, NY
    ZIP 11579
  • Facility Phone: 516 676-6838
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES R. PELLEGRINI
  • NPI Number: 1760431829
  • Taxonomy: 207RA0201X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0921868
LAB Type Physician Office
Facility Name JAMES R PELLEGRINI MD
Street 400 GLEN COVE AVENUE
City SEA CLIFF
State NY
ZIP 11579
Phone 516 676-6838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Physician Office
Lab Director DR. JAMES R. PELLEGRINI

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