33D1097125 CLIA NUMBER - PAUL R BYRNE, MD PC SQUARE CARE

Laboratory Demographics

  • CLIA Code: 33D1097125
  • Facility Name: PAUL R BYRNE, MD PC SQUARE CARE
  • Facility Address: 300 OLD COUNTRY ROAD, PENTHOUSE
    MINEOLA, NY
    ZIP 11501
  • Facility Phone: 516 747-9232
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PAUL BYRNE
  • NPI Number: 1275792608
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 33D1097125
LAB Type Physician Office
Facility Name PAUL R BYRNE, MD PC SQUARE CARE
Street 300 OLD COUNTRY ROAD, PENTHOUSE
City MINEOLA
State NY
ZIP 11501
Phone 516 747-9232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type Physician Office
Lab Director DR. PAUL BYRNE

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