33D0945101 CLIA NUMBER - NORTH COAST INTERNAL MEDICINE PC

Laboratory Demographics

  • CLIA Code: 33D0945101
  • Facility Name: NORTH COAST INTERNAL MEDICINE PC
  • Facility Address: 207 GLEN COVE AVE
    SEA CLIFF, NY
    ZIP 11579
  • Facility Phone: (516) 676-1742
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHARLES A. GAMBINO
  • NPI Number: 1164600987
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D0945101
LAB Type Physician Office
Facility Name NORTH COAST INTERNAL MEDICINE PC
Street 207 GLEN COVE AVE
City SEA CLIFF
State NY
ZIP 11579
Phone 5166761742
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2016
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. CHARLES A. GAMBINO

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: 5/15/2026