33D2109963 CLIA NUMBER - INTEGRATED MEDICAL PROFESSIONALS, PLLC

Laboratory Demographics

  • CLIA Code: 33D2109963
  • Facility Name: INTEGRATED MEDICAL PROFESSIONALS, PLLC
  • Facility Address: 340 BROADHOLLOW ROAD, SUITE E
    FARMINGDALE, NY
    ZIP 11735
  • Facility Phone: 516 280-7930
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ANN E. ANDERSON
  • NPI Number: 1962856450
  • Taxonomy: 163WP0000X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 33D2109963
LAB Type Physician Office
Facility Name INTEGRATED MEDICAL PROFESSIONALS, PLLC
Street 340 BROADHOLLOW ROAD, SUITE E
City FARMINGDALE
State NY
ZIP 11735
Phone 516 280-7930
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 6/8/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. ANN E. ANDERSON

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