33D2029131 CLIA NUMBER - PILGRIM PSYCHIATRIC CENTER

Laboratory Demographics

  • CLIA Code: 33D2029131
  • Facility Name: PILGRIM PSYCHIATRIC CENTER
  • Facility Address: 998 CROOKED HILL ROAD
    WEST BRENTWOOD, NY
    ZIP 11717
  • Facility Phone: 631 761-2459
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DR. ALEXANDER EDAYADI
  • NPI Number: 1154864338
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 33D2029131
LAB Type Hospital
Facility Name PILGRIM PSYCHIATRIC CENTER
Street 998 CROOKED HILL ROAD
City WEST BRENTWOOD
State NY
ZIP 11717
Phone 631 761-2459
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2011
Certificate Expiration Date 3/26/2027
Facility Type Hospital
Lab Director DR. ALEXANDER EDAYADI

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