33D2054686 CLIA NUMBER - LONG ISLAND COMPREHENSIVE MEDICAL

Laboratory Demographics

  • CLIA Code: 33D2054686
  • Facility Name: LONG ISLAND COMPREHENSIVE MEDICAL
  • Facility Address: 754 MONTAUK HIGHWAY
    WEST ISLIP, NY
    ZIP 11795
  • Facility Phone: 631 422-0909
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL M. CHU
  • NPI Number: 1093733255
  • Taxonomy: 2086S0129X - Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2054686
LAB Type Physician Office
Facility Name LONG ISLAND COMPREHENSIVE MEDICAL
Street 754 MONTAUK HIGHWAY
City WEST ISLIP
State NY
ZIP 11795
Phone 631 422-0909
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Physician Office
Lab Director DR. MICHAEL M. CHU

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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