33D1060148 CLIA NUMBER - BROOKHAVEN HEART PLLC

Laboratory Demographics

  • CLIA Code: 33D1060148
  • Facility Name: BROOKHAVEN HEART PLLC
  • Facility Address: 325 EAST MAIN STREET, SUITE 120
    PATCHOGUE, NY
    ZIP 11772
  • Facility Phone: 631 654-3278
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SATHEESH JOSEPH
  • NPI Number: 1639260607
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1060148
LAB Type Physician Office
Facility Name BROOKHAVEN HEART PLLC
Street 325 EAST MAIN STREET, SUITE 120
City PATCHOGUE
State NY
ZIP 11772
Phone 631 654-3278
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Physician Office
Lab Director DR. SATHEESH JOSEPH

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