33D1057944 CLIA NUMBER - EVELYN LLANOS MD

Laboratory Demographics

CLIA Number: 33D1057944

Facility Name: EVELYN LLANOS MD

Facility Address:
19 SOUTHDOWN ROAD
HUNTINGTON, NY
ZIP 11743
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Facility Phone Number: 631 470-2572

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1760455497

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType	4
CertificateEffectiveDate	8/25/2022
CertificateExpirationDate	8/24/2024
FacilityType	Waiver

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