33D2088236 CLIA NUMBER - STONY BROOK MEDICINE STONY BROOK INTERNISTS SB EXTENDED CARE

Laboratory Demographics

  • CLIA Code: 33D2088236
  • Facility Name: STONY BROOK MEDICINE STONY BROOK INTERNISTS SB EXTENDED CARE
  • Facility Address: 23 S HOWELL AVE - SUITE A
    CENTEREACH, NY
    ZIP 11720
  • Facility Phone: 631 542-0550
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. OPKAR S. CHAWLA
  • NPI Number: 1538772470
  • Taxonomy: 171100000X - Acupuncturist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2088236
LAB Type Ancillary Testing Site in Health Care Center
Facility Name STONY BROOK MEDICINE STONY BROOK INTERNISTS SB EXTENDED CARE
Street 23 S HOWELL AVE - SUITE A
City CENTEREACH
State NY
ZIP 11720
Phone 631 542-0550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2014
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. OPKAR S. CHAWLA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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