33D2027000 CLIA NUMBER - LAKE GROVE PEDIATRICS, PC

Laboratory Demographics

  • CLIA Code: 33D2027000
  • Facility Name: LAKE GROVE PEDIATRICS, PC
  • Facility Address: 2233 NESCONSET HWY, SUITE 207
    LAKE GROVE, NY
    ZIP 11755
  • Facility Phone: 631 585-4440
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AMY D. GOLDBERG
  • NPI Number: 1447543913
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2027000
LAB Type Physician Office
Facility Name LAKE GROVE PEDIATRICS, PC
Street 2233 NESCONSET HWY, SUITE 207
City LAKE GROVE
State NY
ZIP 11755
Phone 631 585-4440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Physician Office
Lab Director DR. AMY D. GOLDBERG

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