33D2129491 CLIA NUMBER - MICHELE M DOYLE FNP

Laboratory Demographics

  • CLIA Code: 33D2129491
  • Facility Name: MICHELE M DOYLE FNP
  • Facility Address: 1 COLE STREET
    PORT JERVIS, NY
    ZIP 12771
  • Facility Phone: 845 856-6671
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. MICHELE M. DOYLE
  • NPI Number: 1902344492
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 33D2129491
LAB Type Physician Office
Facility Name MICHELE M DOYLE FNP
Street 1 COLE STREET
City PORT JERVIS
State NY
ZIP 12771
Phone 845 856-6671
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Physician Office
Lab Director MS. MICHELE M. DOYLE

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