33D1095242 CLIA NUMBER - MAROTTA FACIAL PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 33D1095242
  • Facility Name: MAROTTA FACIAL PLASTIC SURGERY
  • Facility Address: 895 WEST JERICHO TURNPIKE
    SMITHTOWN, NY
    ZIP 11787
  • Facility Phone: 631 982-2022
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES C. MAROTTA
  • NPI Number: 1699967448
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D1095242
LAB Type Physician Office
Facility Name MAROTTA FACIAL PLASTIC SURGERY
Street 895 WEST JERICHO TURNPIKE
City SMITHTOWN
State NY
ZIP 11787
Phone 631 982-2022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Physician Office
Lab Director DR. JAMES C. MAROTTA

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