33D1055688 CLIA NUMBER - SUMAIYAH MEDICAL PC

Laboratory Demographics

CLIA Number: 33D1055688

Facility Name: SUMAIYAH MEDICAL PC

Facility Address:
ONE SOMERSET STREET
HUNTINGTON STATION, NY
ZIP 11746
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Facility Phone Number: 631 271-3075

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1508151820

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D1055688
LAB Type	Physician Office
Facility Name	SUMAIYAH MEDICAL PC
Street	ONE SOMERSET STREET
City	HUNTINGTON STATION
State	NY
ZIP	11746
Phone	631 271-3075
CertificateType	4
CertificateEffectiveDate	4/18/2023
CertificateExpirationDate	4/17/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024