33D0942131 CLIA NUMBER - CHERESE M LA PORTA, DO PLLC

Laboratory Demographics

  • CLIA Code: 33D0942131
  • Facility Name: CHERESE M LA PORTA, DO PLLC
  • Facility Address: 107 NORTH OCEAN AVENUE, SUITE G
    PATCHOGUE, NY
    ZIP 11772
  • Facility Phone: (631) 654-5004
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHERESE M. LA PORTA
  • NPI Number: 1700050051
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D0942131
LAB Type Physician Office
Facility Name CHERESE M LA PORTA, DO PLLC
Street 107 NORTH OCEAN AVENUE, SUITE G
City PATCHOGUE
State NY
ZIP 11772
Phone 6316545004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Physician Office
Lab Director DR. CHERESE M. LA PORTA

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: 5/18/2026