33D1075914 CLIA NUMBER - DECERINA UY MD PC

Laboratory Demographics

  • CLIA Code: 33D1075914
  • Facility Name: DECERINA UY MD PC
  • Facility Address: 649 ROUTE 25A SUITE 3
    ROCKY POINT, NY
    ZIP 11778
  • Facility Phone: 631 509-0671
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DECERINA UY
  • NPI Number: 1174591689
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D1075914
LAB Type Physician Office
Facility Name DECERINA UY MD PC
Street 649 ROUTE 25A SUITE 3
City ROCKY POINT
State NY
ZIP 11778
Phone 631 509-0671
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Physician Office
Lab Director DECERINA UY

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