33D2132951 CLIA NUMBER - WINTHROP COMMUNITY MEDICAL AFFILIATES PC

Laboratory Demographics

  • CLIA Code: 33D2132951
  • Facility Name: WINTHROP COMMUNITY MEDICAL AFFILIATES PC
  • Facility Address: 200 OLD COUNTRY RD - SUITE 120
    MINEOLA, NY
    ZIP 11501
  • Facility Phone: (516) 663-1220
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. REESE A. WAIN
  • NPI Number: 1083150288
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2132951
LAB Type Ambulatory Surgery Center
Facility Name WINTHROP COMMUNITY MEDICAL AFFILIATES PC
Street 200 OLD COUNTRY RD - SUITE 120
City MINEOLA
State NY
ZIP 11501
Phone 5166631220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2017
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. REESE A. WAIN

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This page was last updated on: 6/29/2026