33D2054026 CLIA NUMBER - R & T MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2054026
  • Facility Name: R & T MEDICAL PC
  • Facility Address: 285 SILLS ROAD, BLDG 5-6, SUITE H
    EAST PATCHOGUE, NY
    ZIP 11772
  • Facility Phone: 631 438-0777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BORIS E. ROSENFELD
  • NPI Number: 1093066953
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2054026
LAB Type Physician Office
Facility Name R & T MEDICAL PC
Street 285 SILLS ROAD, BLDG 5-6, SUITE H
City EAST PATCHOGUE
State NY
ZIP 11772
Phone 631 438-0777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Physician Office
Lab Director BORIS E. ROSENFELD

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