33D1014108 CLIA NUMBER - EBRAHIM SADIGHIM

Laboratory Demographics

  • CLIA Code: 33D1014108
  • Facility Name: EBRAHIM SADIGHIM
  • Facility Address: 138 MIDDLE NECK ROAD
    GREAT NECK, NY
    ZIP 11021
  • Facility Phone: 516 466-1910
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EBRAHIM SADIGHIM
  • NPI Number: 1215021530
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1014108
LAB Type Physician Office
Facility Name EBRAHIM SADIGHIM
Street 138 MIDDLE NECK ROAD
City GREAT NECK
State NY
ZIP 11021
Phone 516 466-1910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Physician Office
Lab Director DR. EBRAHIM SADIGHIM

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