33D2086356 CLIA NUMBER - SOUTH SHORE EYE CARE LLP

Home > CLIA Lookup > 33D2086356

Laboratory Demographics

CLIA Number: 33D2086356

Facility Name: SOUTH SHORE EYE CARE LLP

Facility Address:
689 BROADWAY
MASSAPEQUA, NY
ZIP 11758
Get Directions

Facility Phone Number: 516 541-4141

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1457735094

Taxonomy: 213ES0131X - Podiatrist

CLIA Record

Field Name	Field Value
CLIA Number	33D2086356
LAB Type	Physician Office
Facility Name	SOUTH SHORE EYE CARE LLP
Street	689 BROADWAY
City	MASSAPEQUA
State	NY
ZIP	11758
Phone	516 541-4141
CertificateType	4
CertificateEffectiveDate	11/3/2022
CertificateExpirationDate	11/2/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024