33D2014415 CLIA NUMBER - FARMINGDALE PRIMARY CARE PC

Home > CLIA Lookup > 33D2014415

Laboratory Demographics

CLIA Number: 33D2014415

Facility Name: FARMINGDALE PRIMARY CARE PC

Facility Address:
1 STUART GATE SUITE B
MASSAPEQUA, NY
ZIP 11758
Get Directions

Facility Phone Number: 516 249-1999

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1073820965

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	33D2014415
LAB Type	Physician Office
Facility Name	FARMINGDALE PRIMARY CARE PC
Street	1 STUART GATE SUITE B
City	MASSAPEQUA
State	NY
ZIP	11758
Phone	516 249-1999
CertificateType	4
CertificateEffectiveDate	10/8/2022
CertificateExpirationDate	10/7/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024