33D0942756 CLIA NUMBER - QUEST MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D0942756
  • Facility Name: QUEST MEDICAL PC
  • Facility Address: 8 MAPLE AVENUE
    BAYSHORE, NY
    ZIP 11706
  • Facility Phone: (631) 665-4392
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GARY G. DICANIO
  • NPI Number: 1558792549
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0942756
LAB Type Physician Office
Facility Name QUEST MEDICAL PC
Street 8 MAPLE AVENUE
City BAYSHORE
State NY
ZIP 11706
Phone 6316654392
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Physician Office
Lab Director DR. GARY G. DICANIO

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This page was last updated on: 5/18/2026