33D1065817 CLIA NUMBER - NORTH NASSAU ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 33D1065817
  • Facility Name: NORTH NASSAU ENDOCRINOLOGY
  • Facility Address: 1000 NORTHERN BLVD
    GREAT NECK, NY
    ZIP 11021
  • Facility Phone: 516 829-0802
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHAN KAPLAN
  • NPI Number: 1710033931
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1065817
LAB Type Physician Office
Facility Name NORTH NASSAU ENDOCRINOLOGY
Street 1000 NORTHERN BLVD
City GREAT NECK
State NY
ZIP 11021
Phone 516 829-0802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Physician Office
Lab Director JONATHAN KAPLAN

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This page was last updated on: 6/4/2025