33D0976024 CLIA NUMBER - MARK A SHAPIRO MD

Laboratory Demographics

  • CLIA Code: 33D0976024
  • Facility Name: MARK A SHAPIRO MD
  • Facility Address: 10 B MEDICAL DRIVE
    PORT JEFFERSON STATION, NY
    ZIP 11776
  • Facility Phone: 631 474-1111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK A. SHAPIRO
  • NPI Number: 1003914680
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0976024
LAB Type Physician Office
Facility Name MARK A SHAPIRO MD
Street 10 B MEDICAL DRIVE
City PORT JEFFERSON STATION
State NY
ZIP 11776
Phone 631 474-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Physician Office
Lab Director MARK A. SHAPIRO

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