33D2104601 CLIA NUMBER - ALAN M KISNER FACS, FRCS PLASTIC SURGERY, PLLC

Laboratory Demographics

  • CLIA Code: 33D2104601
  • Facility Name: ALAN M KISNER FACS, FRCS PLASTIC SURGERY, PLLC
  • Facility Address: 100 EAST MAIN STREET
    HUNTINGTON, NY
    ZIP 11743
  • Facility Phone: 631 424-4004
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALAN M. KISNER
  • NPI Number: 1790766673
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D2104601
LAB Type Physician Office
Facility Name ALAN M KISNER FACS, FRCS PLASTIC SURGERY, PLLC
Street 100 EAST MAIN STREET
City HUNTINGTON
State NY
ZIP 11743
Phone 631 424-4004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Physician Office
Lab Director DR. ALAN M. KISNER

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