33D0956193 CLIA NUMBER - MICHAEL R DEANGELIS DO

Laboratory Demographics

  • CLIA Code: 33D0956193
  • Facility Name: MICHAEL R DEANGELIS DO
  • Facility Address: 70 GLEN STREET SUITE 380
    GLEN COVE, NY
    ZIP 11542
  • Facility Phone: 516 674-7074
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL R. DEANGELIS
  • NPI Number: 1609962539
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0956193
LAB Type Physician Office
Facility Name MICHAEL R DEANGELIS DO
Street 70 GLEN STREET SUITE 380
City GLEN COVE
State NY
ZIP 11542
Phone 516 674-7074
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Physician Office
Lab Director DR. MICHAEL R. DEANGELIS

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This page was last updated on: 9/29/2025