33D1028979 CLIA NUMBER - DR MARC ALLEN MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D1028979
  • Facility Name: DR MARC ALLEN MEDICAL PC
  • Facility Address: 1045 WEST JERICHO TURNPIKE
    SMITHTOWN, NY
    ZIP 11787
  • Facility Phone: 631 543-8844
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARC ALLEN
  • NPI Number: 1003869850
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 33D1028979
LAB Type Physician Office
Facility Name DR MARC ALLEN MEDICAL PC
Street 1045 WEST JERICHO TURNPIKE
City SMITHTOWN
State NY
ZIP 11787
Phone 631 543-8844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Physician Office
Lab Director DR. MARC ALLEN

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