33D0992383 CLIA NUMBER - MAXIM OF NEW YORK LLC

Laboratory Demographics

  • CLIA Code: 33D0992383
  • Facility Name: MAXIM OF NEW YORK LLC
  • Facility Address: 900 MERCHANTS CONCOURSE - SUITE LL-6
    WESTBURY, NY
    ZIP 11590
  • Facility Phone: 516 565-6322
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. MARY C. DAYE
  • NPI Number: 1750493706
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 33D0992383
LAB Type Home Health Agency
Facility Name MAXIM OF NEW YORK LLC
Street 900 MERCHANTS CONCOURSE - SUITE LL-6
City WESTBURY
State NY
ZIP 11590
Phone 516 565-6322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2006
Certificate Expiration Date 3/26/2027
Facility Type Home Health Agency
Lab Director DR. MARY C. DAYE

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This page was last updated on: 6/4/2025