33D2129501 CLIA NUMBER - PETER A KLEIN MD FAAD PC DBA PORT JEFFERSON DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 33D2129501
  • Facility Name: PETER A KLEIN MD FAAD PC DBA PORT JEFFERSON DERMATOLOGY
  • Facility Address: 6 MEDICAL DRIVE - SUITE D
    PORT JEFFERSON STATION, NY
    ZIP 11776
  • Facility Phone: 631 928-7922
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PETER A. KLEIN
  • NPI Number: 1669444147
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D2129501
LAB Type Physician Office
Facility Name PETER A KLEIN MD FAAD PC DBA PORT JEFFERSON DERMATOLOGY
Street 6 MEDICAL DRIVE - SUITE D
City PORT JEFFERSON STATION
State NY
ZIP 11776
Phone 631 928-7922
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 DR. PETER A. KLEIN

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