33D2064200 CLIA NUMBER - HAUPPAUGE CLINIC

Laboratory Demographics

  • CLIA Code: 33D2064200
  • Facility Name: HAUPPAUGE CLINIC
  • Facility Address: 200 WIRELESS BLVD
    HAUPPAUGE, NY
    ZIP 11788
  • Facility Phone: 631 853-7373
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DR. DULAN HAILOO
  • NPI Number: 1023143294
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 33D2064200
LAB Type Comp. Outpatient Rehab Facility
Facility Name HAUPPAUGE CLINIC
Street 200 WIRELESS BLVD
City HAUPPAUGE
State NY
ZIP 11788
Phone 631 853-7373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2013
Certificate Expiration Date 3/26/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. DULAN HAILOO

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