33D2130340 CLIA NUMBER - WINTHROP COMMUNITY MEDICAL AFFILIATES PC

Laboratory Demographics

CLIA Number: 33D2130340

Facility Name: WINTHROP COMMUNITY MEDICAL AFFILIATES PC

Facility Address:
536 MINEOLA AVE
CARLE PLACE, NY
ZIP 11514
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Facility Phone Number: 516 333-5054

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1528430162

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	33D2130340
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	WINTHROP COMMUNITY MEDICAL AFFILIATES PC
Street	536 MINEOLA AVE
City	CARLE PLACE
State	NY
ZIP	11514
Phone	516 333-5054
CertificateType	4
CertificateEffectiveDate	5/8/2017
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024