33D1037616 CLIA NUMBER - QUINTANA FAMILY MEDICAL

Laboratory Demographics

  • CLIA Code: 33D1037616
  • Facility Name: QUINTANA FAMILY MEDICAL
  • Facility Address: 290 SOUTH WELLWOOD AVENUE
    LINDENHURST, NY
    ZIP 11757
  • Facility Phone: 631 225-2999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANDREA QUINTANA
  • NPI Number: 1437122967
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1037616
LAB Type Physician Office
Facility Name QUINTANA FAMILY MEDICAL
Street 290 SOUTH WELLWOOD AVENUE
City LINDENHURST
State NY
ZIP 11757
Phone 631 225-2999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director DR. ANDREA QUINTANA

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