33D2022950 CLIA NUMBER - ANSADATA MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 33D2022950
  • Facility Name: ANSADATA MEDICAL PLLC
  • Facility Address: 371 MERRICK ROAD, SUITE 100
    ROCKVILLE CENTRE, NY
    ZIP 11570
  • Facility Phone: 516 547-4024
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ERIC M. GOLDSTEIN

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CLIA Record

Field Name Field Value
CLIA Number 33D2022950
LAB Type Physician Office
Facility Name ANSADATA MEDICAL PLLC
Street 371 MERRICK ROAD, SUITE 100
City ROCKVILLE CENTRE
State NY
ZIP 11570
Phone 516 547-4024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Physician Office
Lab Director DR. ERIC M. GOLDSTEIN

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This page was last updated on: 6/4/2025