33D1021995 CLIA NUMBER - LAURA COUDREY MD PC

Laboratory Demographics

  • CLIA Code: 33D1021995
  • Facility Name: LAURA COUDREY MD PC
  • Facility Address: 1916 UNION BOULEVARD
    BAYSHORE, NY
    ZIP 11706
  • Facility Phone: 631 666-2290
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURA COUDREY MD
  • NPI Number: 1477593978
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1021995
LAB Type Physician Office
Facility Name LAURA COUDREY MD PC
Street 1916 UNION BOULEVARD
City BAYSHORE
State NY
ZIP 11706
Phone 631 666-2290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Physician Office
Lab Director LAURA COUDREY MD

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