33D2141778 CLIA NUMBER - RONALD C FAGAN MD PC

Laboratory Demographics

  • CLIA Code: 33D2141778
  • Facility Name: RONALD C FAGAN MD PC
  • Facility Address: 4230 HEMPSTEAD TURNPIKE, SUITE 109
    BETHPAGE, NY
    ZIP 11714
  • Facility Phone: 516 490-2174
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MR. LAWRENCE J. FOX
  • NPI Number: 1427027887
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 33D2141778
LAB Type Physician Office
Facility Name RONALD C FAGAN MD PC
Street 4230 HEMPSTEAD TURNPIKE, SUITE 109
City BETHPAGE
State NY
ZIP 11714
Phone 516 490-2174
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Physician Office
Lab Director MR. LAWRENCE J. FOX

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