33D2064301 CLIA NUMBER - VALLEY STREAM COMMUNITY CLINIC

Laboratory Demographics

  • CLIA Code: 33D2064301
  • Facility Name: VALLEY STREAM COMMUNITY CLINIC
  • Facility Address: 99 SOUTH CENTRAL AVENUE
    VALLEY STREAM, NY
    ZIP 11580
  • Facility Phone: 631 261-4400
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: TIMOTHY PAL
  • NPI Number: 1215075551
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 33D2064301
LAB Type Community Clinic
Facility Name VALLEY STREAM COMMUNITY CLINIC
Street 99 SOUTH CENTRAL AVENUE
City VALLEY STREAM
State NY
ZIP 11580
Phone 631 261-4400
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/18/2013
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director TIMOTHY PAL

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