33D0974780 CLIA NUMBER - ARGEN MEDICAL A PRACTICE OF UNIVERSITY ASSOCIATES IN OB/GYN

Laboratory Demographics

  • CLIA Code: 33D0974780
  • Facility Name: ARGEN MEDICAL A PRACTICE OF UNIVERSITY ASSOCIATES IN OB/GYN
  • Facility Address: 5225-70 RTE 347
    PORT JEFFERSON STATION, NY
    ZIP 11776
  • Facility Phone: (631) 331-8777
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. GUSTAVO A. SAN ROMAN
  • NPI Number: 1235361643
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 33D0974780
LAB Type Physician Office
Facility Name ARGEN MEDICAL A PRACTICE OF UNIVERSITY ASSOCIATES IN OB/GYN
Street 5225-70 RTE 347
City PORT JEFFERSON STATION
State NY
ZIP 11776
Phone 6313318777
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/19/2018
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. GUSTAVO A. SAN ROMAN

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This page was last updated on: 5/18/2026