33D0984359 CLIA NUMBER - ISLAND UROLOGICAL CARE DIVISION OF INTEGRATED MEDICAL PROFESSIONALS PLLC

Laboratory Demographics

  • CLIA Code: 33D0984359
  • Facility Name: ISLAND UROLOGICAL CARE DIVISION OF INTEGRATED MEDICAL PROFESSIONALS PLLC
  • Facility Address: 373 ROUTE 111, SUITE 7, LOWER LEVEL
    SMITHTOWN, NY
    ZIP 11787
  • Facility Phone: 631 360-7450
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. HOWARD S. LYNN
  • NPI Number: 1528237054
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 33D0984359
LAB Type Physician Office
Facility Name ISLAND UROLOGICAL CARE DIVISION OF INTEGRATED MEDICAL PROFESSIONALS PLLC
Street 373 ROUTE 111, SUITE 7, LOWER LEVEL
City SMITHTOWN
State NY
ZIP 11787
Phone 631 360-7450
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 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Physician Office
Lab Director DR. HOWARD S. LYNN

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