33D2017797 CLIA NUMBER - STONY BROOK SURGICAL ASSOCIATES UFPC

Laboratory Demographics

  • CLIA Code: 33D2017797
  • Facility Name: STONY BROOK SURGICAL ASSOCIATES UFPC
  • Facility Address: 222 MIDDLE COUNTRY RD - SUITE 209
    SMITHTOWN, NY
    ZIP 11787
  • Facility Phone: 631 444-4545
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MR. NORMAN M. CRUZ
  • NPI Number: 1386775385
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2017797
LAB Type Ancillary Testing Site in Health Care Center
Facility Name STONY BROOK SURGICAL ASSOCIATES UFPC
Street 222 MIDDLE COUNTRY RD - SUITE 209
City SMITHTOWN
State NY
ZIP 11787
Phone 631 444-4545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2010
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MR. NORMAN M. CRUZ

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