33D2105307 CLIA NUMBER - GLORIA ESCOBAR, MD

Laboratory Demographics

  • CLIA Code: 33D2105307
  • Facility Name: GLORIA ESCOBAR, MD
  • Facility Address: 148 ISLIP AVENUE, STE 27
    ISLIP, NY
    ZIP 11751
  • Facility Phone: 631 650-6580
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GLORIA ESCOBAR
  • NPI Number: 1992978654
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2105307
LAB Type Physician Office
Facility Name GLORIA ESCOBAR, MD
Street 148 ISLIP AVENUE, STE 27
City ISLIP
State NY
ZIP 11751
Phone 631 650-6580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Physician Office
Lab Director DR. GLORIA ESCOBAR

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