33D1016045 CLIA NUMBER - LONG ISLAND FAMILY MEDICAL PLLC

Laboratory Demographics

CLIA Number: 33D1016045

Facility Name: LONG ISLAND FAMILY MEDICAL PLLC

Facility Address:
8 LAUREL AVENUE
EAST ISLIP, NY
ZIP 11730
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Facility Phone Number: 631 224-4442

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1285743427

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	33D1016045
LAB Type	Physician Office
Facility Name	LONG ISLAND FAMILY MEDICAL PLLC
Street	8 LAUREL AVENUE
City	EAST ISLIP
State	NY
ZIP	11730
Phone	631 224-4442
CertificateType	4
CertificateEffectiveDate	8/19/2023
CertificateExpirationDate	8/18/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024