33D0926963 CLIA NUMBER - PRIMARY PARTNERCARE PHYSICIANS PLLC

Laboratory Demographics

  • CLIA Code: 33D0926963
  • Facility Name: PRIMARY PARTNERCARE PHYSICIANS PLLC
  • Facility Address: 2800 MARCUS AVE SUITE 203
    LAKE SUCCESS, NY
    ZIP 11042
  • Facility Phone: 516 354-7900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HARRY S. JACOB MD
  • NPI Number: 1346388162
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0926963
LAB Type Physician Office
Facility Name PRIMARY PARTNERCARE PHYSICIANS PLLC
Street 2800 MARCUS AVE SUITE 203
City LAKE SUCCESS
State NY
ZIP 11042
Phone 516 354-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Physician Office
Lab Director HARRY S. JACOB MD

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