33D0985616 CLIA NUMBER - ISRAEL SAMSON MD

Laboratory Demographics

  • CLIA Code: 33D0985616
  • Facility Name: ISRAEL SAMSON MD
  • Facility Address: 545 CENTRAL AVE
    CEDARHURST, NY
    ZIP 11516
  • Facility Phone: 516 791-7400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ISRAEL M. SAMSON
  • NPI Number: 1770533572
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0985616
LAB Type Physician Office
Facility Name ISRAEL SAMSON MD
Street 545 CENTRAL AVE
City CEDARHURST
State NY
ZIP 11516
Phone 516 791-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Physician Office
Lab Director ISRAEL M. SAMSON

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