33D1002641 CLIA NUMBER - PERRY HERSON MD PC

Laboratory Demographics

  • CLIA Code: 33D1002641
  • Facility Name: PERRY HERSON MD PC
  • Facility Address: 105 HILLSIDE AVENUE, SUITE 1 A
    WILLISTON PARK, NY
    ZIP 11596
  • Facility Phone: 516 746-0772
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PERRY B. HERSON
  • NPI Number: 1396811725
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D1002641
LAB Type Physician Office
Facility Name PERRY HERSON MD PC
Street 105 HILLSIDE AVENUE, SUITE 1 A
City WILLISTON PARK
State NY
ZIP 11596
Phone 516 746-0772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Physician Office
Lab Director DR. PERRY B. HERSON

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