33D0932405 CLIA NUMBER - NORTH SHORE PRIMARY CARE MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 33D0932405
  • Facility Name: NORTH SHORE PRIMARY CARE MEDICAL ASSOCIATES
  • Facility Address: 1000 NORTHERN BLVD SUITE 230
    GREAT NECK, NY
    ZIP 11021
  • Facility Phone: 516 627-4433
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DAVID G. EDELSON
  • NPI Number: 1548287410
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D0932405
LAB Type Physician Office
Facility Name NORTH SHORE PRIMARY CARE MEDICAL ASSOCIATES
Street 1000 NORTHERN BLVD SUITE 230
City GREAT NECK
State NY
ZIP 11021
Phone 516 627-4433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2023
Certificate Expiration Date 8/19/2025
Facility Type Physician Office
Lab Director DR. DAVID G. EDELSON

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: 3/20/2025