33D2061988 CLIA NUMBER - AUGUSTAS BOULUKOS, MD

Laboratory Demographics

  • CLIA Code: 33D2061988
  • Facility Name: AUGUSTAS BOULUKOS, MD
  • Facility Address: 314 HEMPSTEAD AVENUE
    WEST HEMPSTEAD, NY
    ZIP 11552
  • Facility Phone: 516 565-2010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AUGUSTAS A. BOULUKOS
  • NPI Number: 1447336813
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2061988
LAB Type Physician Office
Facility Name AUGUSTAS BOULUKOS, MD
Street 314 HEMPSTEAD AVENUE
City WEST HEMPSTEAD
State NY
ZIP 11552
Phone 516 565-2010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2023
Certificate Expiration Date 7/8/2025
Facility Type Physician Office
Lab Director DR. AUGUSTAS A. BOULUKOS

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This page was last updated on: 6/4/2025