33D2007142 CLIA NUMBER - ALEXANDRE B DE MOURA MD PC NEW YORK SPINE INSTITUTE

Laboratory Demographics

  • CLIA Code: 33D2007142
  • Facility Name: ALEXANDRE B DE MOURA MD PC NEW YORK SPINE INSTITUTE
  • Facility Address: 761 MERRICK AVENUE
    WESTBURY, NY
    ZIP 11590
  • Facility Phone: 516 357-8777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALEXANDRE B. DE MOURA
  • NPI Number: 1750440319
  • Taxonomy: 207XS0117X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 33D2007142
LAB Type Physician Office
Facility Name ALEXANDRE B DE MOURA MD PC NEW YORK SPINE INSTITUTE
Street 761 MERRICK AVENUE
City WESTBURY
State NY
ZIP 11590
Phone 516 357-8777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Physician Office
Lab Director DR. ALEXANDRE B. DE MOURA

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