33D2001239 CLIA NUMBER - THOMAS F JAN, DO PC

Laboratory Demographics

  • CLIA Code: 33D2001239
  • Facility Name: THOMAS F JAN, DO PC
  • Facility Address: 4200 SUNRISE HIGHWAY
    MASSAPEQUA, NY
    ZIP 11758
  • Facility Phone: 516 541-1064
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS F. JAN
  • NPI Number: 1871685404
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 33D2001239
LAB Type Physician Office
Facility Name THOMAS F JAN, DO PC
Street 4200 SUNRISE HIGHWAY
City MASSAPEQUA
State NY
ZIP 11758
Phone 516 541-1064
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Physician Office
Lab Director DR. THOMAS F. JAN

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