33D1043819 CLIA NUMBER - MARK TIEMAN MD

Laboratory Demographics

  • CLIA Code: 33D1043819
  • Facility Name: MARK TIEMAN MD
  • Facility Address: 356 VETERANS MEMORIAL HIGHWAY
    COMMACK, NY
    ZIP 11725
  • Facility Phone: 631 858-0400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK TIEMAN MD
  • NPI Number: 1154494003
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1043819
LAB Type Physician Office
Facility Name MARK TIEMAN MD
Street 356 VETERANS MEMORIAL HIGHWAY
City COMMACK
State NY
ZIP 11725
Phone 631 858-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Physician Office
Lab Director MARK TIEMAN MD

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