33D1084281 CLIA NUMBER - FARMINGVILLE FAMILY MEDICINE PLLC

Laboratory Demographics

  • CLIA Code: 33D1084281
  • Facility Name: FARMINGVILLE FAMILY MEDICINE PLLC
  • Facility Address: 465 BLUE POINT ROAD
    FARMINGVILLE, NY
    ZIP 11738
  • Facility Phone: 631 732-5999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. VIKAS DESAI
  • NPI Number: 1992251680
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 33D1084281
LAB Type Physician Office
Facility Name FARMINGVILLE FAMILY MEDICINE PLLC
Street 465 BLUE POINT ROAD
City FARMINGVILLE
State NY
ZIP 11738
Phone 631 732-5999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Physician Office
Lab Director DR. VIKAS DESAI

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