33D1057847 CLIA NUMBER - ADVANTAGE CARE HEALTH CENTER

Laboratory Demographics

CLIA Number: 33D1057847

Facility Name: ADVANTAGE CARE HEALTH CENTER

Facility Address:
189 WHEATLEY RD
BROOKVILLE, NY
ZIP 11545
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Facility Phone Number: 516 686-4400

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1073689600

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D1057847
LAB Type	Community Clinic
Facility Name	ADVANTAGE CARE HEALTH CENTER
Street	189 WHEATLEY RD
City	BROOKVILLE
State	NY
ZIP	11545
Phone	516 686-4400
CertificateType	4
CertificateEffectiveDate	8/23/2006
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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