33D1075821 CLIA NUMBER - LONG ISLAND VITREORETINAL CONSULTANTS

Laboratory Demographics

  • CLIA Code: 33D1075821
  • Facility Name: LONG ISLAND VITREORETINAL CONSULTANTS
  • Facility Address: 600 NORTHERN BLVD SUITE 216
    GREAT NECK, NY
    ZIP 11021
  • Facility Phone: 516 466-0390
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILIP J. FERRONE
  • NPI Number: 1235242553
  • Taxonomy: 207WX0107X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 33D1075821
LAB Type Physician Office
Facility Name LONG ISLAND VITREORETINAL CONSULTANTS
Street 600 NORTHERN BLVD SUITE 216
City GREAT NECK
State NY
ZIP 11021
Phone 516 466-0390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Physician Office
Lab Director PHILIP J. FERRONE

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