33D0950474 CLIA NUMBER - WESTHAMPTON PRIMARY CARE CENTER

Laboratory Demographics

CLIA Number: 33D0950474

Facility Name: WESTHAMPTON PRIMARY CARE CENTER

Facility Address:
147 BEACH ROAD
WESTHAMPTON BEACH, NY
ZIP 11978
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Facility Phone Number: 631 288-7746

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Microscopy

NPI Number: 1295899086

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D0950474
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	WESTHAMPTON PRIMARY CARE CENTER
Street	147 BEACH ROAD
City	WESTHAMPTON BEACH
State	NY
ZIP	11978
Phone	631 288-7746
CertificateType	3
CertificateEffectiveDate	10/30/2019
CertificateExpirationDate	3/26/2027
FacilityType	PPMP

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This page was last updated on: 4/23/2024