33D2020630 CLIA NUMBER - TIMOTHY D GROTH MD PC

Laboratory Demographics

  • CLIA Code: 33D2020630
  • Facility Name: TIMOTHY D GROTH MD PC
  • Facility Address: 994 WEST JERICHO TURNPIKE STE 104
    SMITHTOWN, NY
    ZIP 11787
  • Facility Phone: 631 543-1440
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TIMOTHY D. GROTH
  • NPI Number: 1093742272
  • Taxonomy: 207LP2900X - Anesthesiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2020630
LAB Type Physician Office
Facility Name TIMOTHY D GROTH MD PC
Street 994 WEST JERICHO TURNPIKE STE 104
City SMITHTOWN
State NY
ZIP 11787
Phone 631 543-1440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Physician Office
Lab Director DR. TIMOTHY D. GROTH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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