33D2060774 CLIA NUMBER - MOMS OB-GYN PC

Laboratory Demographics

  • CLIA Code: 33D2060774
  • Facility Name: MOMS OB-GYN PC
  • Facility Address: 120 HICKSVILLE ROAD, SUITE 302
    HICKSVILLE, NY
    ZIP 11801
  • Facility Phone: 516 513-1004
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ASHFAQ AFSHAN
  • NPI Number: 1245728658
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 33D2060774
LAB Type Physician Office
Facility Name MOMS OB-GYN PC
Street 120 HICKSVILLE ROAD, SUITE 302
City HICKSVILLE
State NY
ZIP 11801
Phone 516 513-1004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Physician Office
Lab Director DR. ASHFAQ AFSHAN

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