33D1014992 CLIA NUMBER - ADELAIDE L MASAKAYAN MD PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 33D1014992
  • Facility Name: ADELAIDE L MASAKAYAN MD PEDIATRICS PC
  • Facility Address: 112 TERRYVILLE ROAD
    PORT JEFFERSON STATION, NY
    ZIP 11776
  • Facility Phone: 631 209-2827
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ADELAIDE L. MASAKAYAN
  • NPI Number: 1902970577
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D1014992
LAB Type Physician Office
Facility Name ADELAIDE L MASAKAYAN MD PEDIATRICS PC
Street 112 TERRYVILLE ROAD
City PORT JEFFERSON STATION
State NY
ZIP 11776
Phone 631 209-2827
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Physician Office
Lab Director DR. ADELAIDE L. MASAKAYAN

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