33D1017350 CLIA NUMBER - ANTHONY J RIZZO DO PC

Laboratory Demographics

CLIA Number: 33D1017350

Facility Name: ANTHONY J RIZZO DO PC

Facility Address:
200 HOWELLS ROAD
BAY SHORE, NY
ZIP 11706
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Facility Phone Number: 631 666-1956

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1194736470

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	33D1017350
LAB Type	Physician Office
Facility Name	ANTHONY J RIZZO DO PC
Street	200 HOWELLS ROAD
City	BAY SHORE
State	NY
ZIP	11706
Phone	631 666-1956
CertificateType	4
CertificateEffectiveDate	9/23/2023
CertificateExpirationDate	9/22/2025
FacilityType	Waiver

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