33D1078647 CLIA NUMBER - A KIM MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D1078647
  • Facility Name: A KIM MEDICAL PC
  • Facility Address: 2500 NESCONSET HWY BLDG 21A STE 76
    STONY BROOK, NY
    ZIP 11790
  • Facility Phone: 631 751-4000
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. CONSTANTIN A. FRIEDMAN
  • NPI Number: 1467622266
  • Taxonomy: 208800000X - Urology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D1078647
LAB Type Physician Office
Facility Name A KIM MEDICAL PC
Street 2500 NESCONSET HWY BLDG 21A STE 76
City STONY BROOK
State NY
ZIP 11790
Phone 631 751-4000
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director DR. CONSTANTIN A. FRIEDMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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