33D2126203 CLIA NUMBER - WINTHROP COMMUNITY MEDICAL AFFILIATES PC

Laboratory Demographics

  • CLIA Code: 33D2126203
  • Facility Name: WINTHROP COMMUNITY MEDICAL AFFILIATES PC
  • Facility Address: 222 STATION PLAZA NORTH - SUITE 110
    MINEOLA, NY
    ZIP 11501
  • Facility Phone: 516 663-1111
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. JAMIE C. YEDOWITZ-FREEMAN
  • NPI Number: 1144630104
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2126203
LAB Type Ancillary Testing Site in Health Care Center
Facility Name WINTHROP COMMUNITY MEDICAL AFFILIATES PC
Street 222 STATION PLAZA NORTH - SUITE 110
City MINEOLA
State NY
ZIP 11501
Phone 516 663-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2017
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. JAMIE C. YEDOWITZ-FREEMAN

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This page was last updated on: 6/4/2025