33D1064227 CLIA NUMBER - ISMAIL OZCAN MD PC

Laboratory Demographics

  • CLIA Code: 33D1064227
  • Facility Name: ISMAIL OZCAN MD PC
  • Facility Address: 122 PORTION ROAD
    LAKE RONKONKOMA, NY
    ZIP 11779
  • Facility Phone: 631 588-6665
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ISMAIL OZCAN
  • NPI Number: 1518082080
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1064227
LAB Type Physician Office
Facility Name ISMAIL OZCAN MD PC
Street 122 PORTION ROAD
City LAKE RONKONKOMA
State NY
ZIP 11779
Phone 631 588-6665
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director DR. ISMAIL OZCAN

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