33D2044317 CLIA NUMBER - AHMED ELKOULILY MD

Laboratory Demographics

  • CLIA Code: 33D2044317
  • Facility Name: AHMED ELKOULILY MD
  • Facility Address: 357 BROADWAY
    AMITYVILLE, NY
    ZIP 11701
  • Facility Phone: 631 789-7900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AHMED M. ELKOULILY
  • NPI Number: 1689816902
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 33D2044317
LAB Type Physician Office
Facility Name AHMED ELKOULILY MD
Street 357 BROADWAY
City AMITYVILLE
State NY
ZIP 11701
Phone 631 789-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director DR. AHMED M. ELKOULILY

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