33D2076000 CLIA NUMBER - CHARLES K POST ADDICTION TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 33D2076000
  • Facility Name: CHARLES K POST ADDICTION TREATMENT CENTER
  • Facility Address: 998 CROOKED HILL ROAD BLDG 1
    WEST BRENTWOOD, NY
    ZIP 11717
  • Facility Phone: 631 434-7209
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DR. SANDYA JEYAMITRA
  • NPI Number: 1972759678
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2076000
LAB Type Comp. Outpatient Rehab Facility
Facility Name CHARLES K POST ADDICTION TREATMENT CENTER
Street 998 CROOKED HILL ROAD BLDG 1
City WEST BRENTWOOD
State NY
ZIP 11717
Phone 631 434-7209
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2014
Certificate Expiration Date 3/26/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. SANDYA JEYAMITRA

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