33D0976295 CLIA NUMBER - ELYSE S RAFAL MD PC

Laboratory Demographics

  • CLIA Code: 33D0976295
  • Facility Name: ELYSE S RAFAL MD PC
  • Facility Address: 2500-22 ROUTE 347 SUITE 82
    STONY BROOK, NY
    ZIP 11790
  • Facility Phone: 631 689-0300
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ELYSE S. RAFAL
  • NPI Number: 1477515781
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D0976295
LAB Type Physician Office
Facility Name ELYSE S RAFAL MD PC
Street 2500-22 ROUTE 347 SUITE 82
City STONY BROOK
State NY
ZIP 11790
Phone 631 689-0300
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 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Physician Office
Lab Director ELYSE S. RAFAL

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