33D2066029 CLIA NUMBER - PATCHOGUE PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 33D2066029
  • Facility Name: PATCHOGUE PEDIATRICS PC
  • Facility Address: 264 SILLS ROAD
    EAST PATCHOGUE, NY
    ZIP 11772
  • Facility Phone: (631) 504-6261
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AUDREY A. CHONG-GAYLE
  • NPI Number: 1396178000
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2066029
LAB Type Physician Office
Facility Name PATCHOGUE PEDIATRICS PC
Street 264 SILLS ROAD
City EAST PATCHOGUE
State NY
ZIP 11772
Phone 6315046261
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Physician Office
Lab Director DR. AUDREY A. CHONG-GAYLE

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This page was last updated on: 5/18/2026