33D2091216 CLIA NUMBER - MARK J CORONEL MD PC

Laboratory Demographics

  • CLIA Code: 33D2091216
  • Facility Name: MARK J CORONEL MD PC
  • Facility Address: 287 WADING RIVER RD UNIT 2
    MANORVILLE, NY
    ZIP 11949
  • Facility Phone: 631 591-3000
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ROBERT R. DAWSON
  • NPI Number: 1346416963
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2091216
LAB Type Physician Office
Facility Name MARK J CORONEL MD PC
Street 287 WADING RIVER RD UNIT 2
City MANORVILLE
State NY
ZIP 11949
Phone 631 591-3000
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/14/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. ROBERT R. DAWSON

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