33D0971385 CLIA NUMBER - PRIMARY PARTNERCARE PHYSICIANS PLLC

Laboratory Demographics

  • CLIA Code: 33D0971385
  • Facility Name: PRIMARY PARTNERCARE PHYSICIANS PLLC
  • Facility Address: 1035 PARK BOULEVARD, SUITE 1B
    MASSAPEQUA PARK, NY
    ZIP 11762
  • Facility Phone: 516 541-7800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN L. VOGEL
  • NPI Number: 1205851516
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0971385
LAB Type Physician Office
Facility Name PRIMARY PARTNERCARE PHYSICIANS PLLC
Street 1035 PARK BOULEVARD, SUITE 1B
City MASSAPEQUA PARK
State NY
ZIP 11762
Phone 516 541-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Physician Office
Lab Director DR. BRIAN L. VOGEL

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