33D1023786 CLIA NUMBER - OPHTHALMIC CONSULTANTS OF LONG ISLAND-STONY BROOK

Laboratory Demographics

  • CLIA Code: 33D1023786
  • Facility Name: OPHTHALMIC CONSULTANTS OF LONG ISLAND-STONY BROOK
  • Facility Address: 4 TECHNOLOGY DRIVE, SUITE 150
    EAST SETAUKET, NY
    ZIP 11733
  • Facility Phone: 631 941-1400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANZHELIKA VACCARO
  • NPI Number: 1245271600
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 33D1023786
LAB Type Physician Office
Facility Name OPHTHALMIC CONSULTANTS OF LONG ISLAND-STONY BROOK
Street 4 TECHNOLOGY DRIVE, SUITE 150
City EAST SETAUKET
State NY
ZIP 11733
Phone 631 941-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Physician Office
Lab Director DR. ANZHELIKA VACCARO

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This page was last updated on: 6/4/2025