33D0961225 CLIA NUMBER - DBM MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 33D0961225
  • Facility Name: DBM MEDICAL PLLC
  • Facility Address: 11630 OLD COUNTRY RD,
    PLAINVIEW, NY
    ZIP 11803
  • Facility Phone: 516 827-1515
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DORIT BEN-MOHA
  • NPI Number: 1639409642
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0961225
LAB Type Physician Office
Facility Name DBM MEDICAL PLLC
Street 11630 OLD COUNTRY RD,
City PLAINVIEW
State NY
ZIP 11803
Phone 516 827-1515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Physician Office
Lab Director DR. DORIT BEN-MOHA

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