33D2103053 CLIA NUMBER - WINTHROP COMMUNITY MEDICAL AFFILIATES PC

Laboratory Demographics

  • CLIA Code: 33D2103053
  • Facility Name: WINTHROP COMMUNITY MEDICAL AFFILIATES PC
  • Facility Address: 120 MINEOLA BLVD - SUITE 210
    MINEOLA, NY
    ZIP 11501
  • Facility Phone: 516 663-2127
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LEONARD KRILOV
  • NPI Number: 1861471831
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2103053
LAB Type Physician Office
Facility Name WINTHROP COMMUNITY MEDICAL AFFILIATES PC
Street 120 MINEOLA BLVD - SUITE 210
City MINEOLA
State NY
ZIP 11501
Phone 516 663-2127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2015
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. LEONARD KRILOV

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This page was last updated on: 3/20/2025