33D0971664 CLIA NUMBER - RONALD C FAGAN MD PC

Laboratory Demographics

  • CLIA Code: 33D0971664
  • Facility Name: RONALD C FAGAN MD PC
  • Facility Address: 4900 HEMPSTEAD TURNPIKE
    FARMINGDALE, NY
    ZIP 11735
  • Facility Phone: 631 752-7000
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. RONALD C. FAGAN
  • NPI Number: 1134280142
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0971664
LAB Type Physician Office
Facility Name RONALD C FAGAN MD PC
Street 4900 HEMPSTEAD TURNPIKE
City FARMINGDALE
State NY
ZIP 11735
Phone 631 752-7000
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Physician Office
Lab Director DR. RONALD C. FAGAN

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