33D1057944 CLIA NUMBER - EVELYN LLANOS MD

Laboratory Demographics

  • CLIA Code: 33D1057944
  • Facility Name: EVELYN LLANOS MD
  • Facility Address: 19 SOUTHDOWN ROAD
    HUNTINGTON, NY
    ZIP 11743
  • Facility Phone: 631 470-2572
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EVELYN A. LLANOS MD
  • NPI Number: 1760455497
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1057944
LAB Type Physician Office
Facility Name EVELYN LLANOS MD
Street 19 SOUTHDOWN ROAD
City HUNTINGTON
State NY
ZIP 11743
Phone 631 470-2572
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Physician Office
Lab Director EVELYN A. LLANOS MD

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