33D1103140 CLIA NUMBER - RICHARD S OBEDIAN MD PLLC

Laboratory Demographics

  • CLIA Code: 33D1103140
  • Facility Name: RICHARD S OBEDIAN MD PLLC
  • Facility Address: 81 NORTH BROADWAY
    HICKSVILLE, NY
    ZIP 11801
  • Facility Phone: 516 933-4350
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD S. OBEDIAN
  • NPI Number: 1659394690
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 33D1103140
LAB Type Physician Office
Facility Name RICHARD S OBEDIAN MD PLLC
Street 81 NORTH BROADWAY
City HICKSVILLE
State NY
ZIP 11801
Phone 516 933-4350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Physician Office
Lab Director DR. RICHARD S. OBEDIAN

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