33D2072343 CLIA NUMBER - SHAFI WANI, MD, PC

Laboratory Demographics

  • CLIA Code: 33D2072343
  • Facility Name: SHAFI WANI, MD, PC
  • Facility Address: 2500 NESCONSET HIGHWAY, BLDG 15H
    STONYBROOK, NY
    ZIP 11790
  • Facility Phone: 631 689-3005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHAFI M. WANI
  • NPI Number: 1114920436
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D2072343
LAB Type Physician Office
Facility Name SHAFI WANI, MD, PC
Street 2500 NESCONSET HIGHWAY, BLDG 15H
City STONYBROOK
State NY
ZIP 11790
Phone 631 689-3005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Physician Office
Lab Director DR. SHAFI M. WANI

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