33D1041217 CLIA NUMBER - WADING RIVER MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D1041217
  • Facility Name: WADING RIVER MEDICAL CARE PC
  • Facility Address: 5972 ROUTE 25A
    WADING RIVER, NY
    ZIP 11792
  • Facility Phone: 631 929-0304
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT BERNARD
  • NPI Number: 1568844801
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1041217
LAB Type Physician Office
Facility Name WADING RIVER MEDICAL CARE PC
Street 5972 ROUTE 25A
City WADING RIVER
State NY
ZIP 11792
Phone 631 929-0304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Physician Office
Lab Director DR. ROBERT BERNARD

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