33D2132104 CLIA NUMBER - ORANGETOWN FAMILY PRACTICE HIGHLAND MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2132104
  • Facility Name: ORANGETOWN FAMILY PRACTICE HIGHLAND MEDICAL PC
  • Facility Address: 97 RTE 303
    TAPPAN, NY
    ZIP 10983
  • Facility Phone: 845 359-5005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. VINCENT IBELLI
  • NPI Number: 1306884440
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2132104
LAB Type Physician Office
Facility Name ORANGETOWN FAMILY PRACTICE HIGHLAND MEDICAL PC
Street 97 RTE 303
City TAPPAN
State NY
ZIP 10983
Phone 845 359-5005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2017
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. VINCENT IBELLI

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