33D1044250 CLIA NUMBER - SUFFOLK PEDIATRIC PC

Laboratory Demographics

  • CLIA Code: 33D1044250
  • Facility Name: SUFFOLK PEDIATRIC PC
  • Facility Address: 45 W SUFFOLK AVENUE, SUITE 200
    CENTRAL ISLIP, NY
    ZIP 11722
  • Facility Phone: 631 582-2228
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DAVID E. SANCHEZ
  • NPI Number: 1427355775
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D1044250
LAB Type Physician Office
Facility Name SUFFOLK PEDIATRIC PC
Street 45 W SUFFOLK AVENUE, SUITE 200
City CENTRAL ISLIP
State NY
ZIP 11722
Phone 631 582-2228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director DR. DAVID E. SANCHEZ

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