33D2048811 CLIA NUMBER - SUFFOLK BEHAVIORAL MEDICINE PC

Laboratory Demographics

  • CLIA Code: 33D2048811
  • Facility Name: SUFFOLK BEHAVIORAL MEDICINE PC
  • Facility Address: 1097 OLD COUNTRY ROAD, SUITE 105
    PLAINVIEW, NY
    ZIP 11803
  • Facility Phone: (631) 513-6262
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MULCHAND CHUGH
  • NPI Number: 1124312566
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 33D2048811
LAB Type Physician Office
Facility Name SUFFOLK BEHAVIORAL MEDICINE PC
Street 1097 OLD COUNTRY ROAD, SUITE 105
City PLAINVIEW
State NY
ZIP 11803
Phone 6315136262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Physician Office
Lab Director DR. MULCHAND CHUGH

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This page was last updated on: 5/18/2026