33D0999725 CLIA NUMBER - SHAWN P CANNON, DO

Laboratory Demographics

  • CLIA Code: 33D0999725
  • Facility Name: SHAWN P CANNON, DO
  • Facility Address: 518 MONTAUK HIGHWAY, SUITE 102
    AMAGANSETT, NY
    ZIP 11930
  • Facility Phone: 631 267-5373
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHAWN P. CANNON
  • NPI Number: 1831276286
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0999725
LAB Type Physician Office
Facility Name SHAWN P CANNON, DO
Street 518 MONTAUK HIGHWAY, SUITE 102
City AMAGANSETT
State NY
ZIP 11930
Phone 631 267-5373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Physician Office
Lab Director DR. SHAWN P. CANNON

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