33D2156824 CLIA NUMBER - HOPE FOR YOUTH

Laboratory Demographics

  • CLIA Code: 33D2156824
  • Facility Name: HOPE FOR YOUTH
  • Facility Address: 201 DIXON AVE
    AMITYVILLE, NY
    ZIP 11701
  • Facility Phone: 631 842-7900
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MR. DANIEL R. JACOBSEN
  • NPI Number: 1316904519
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 33D2156824
LAB Type Community Clinic
Facility Name HOPE FOR YOUTH
Street 201 DIXON AVE
City AMITYVILLE
State NY
ZIP 11701
Phone 631 842-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2018
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director MR. DANIEL R. JACOBSEN

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