33D2158517 CLIA NUMBER - EAC INC

Laboratory Demographics

  • CLIA Code: 33D2158517
  • Facility Name: EAC INC
  • Facility Address: 175 FULTON AVE - SUITE 403
    HEMPSTEAD, NY
    ZIP 11550
  • Facility Phone: 516 486-3222
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DR. ASMA A. EJAZ
  • NPI Number: 1346302346
  • Taxonomy: 261QR0401X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2158517
LAB Type Comp. Outpatient Rehab Facility
Facility Name EAC INC
Street 175 FULTON AVE - SUITE 403
City HEMPSTEAD
State NY
ZIP 11550
Phone 516 486-3222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2018
Certificate Expiration Date 3/26/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. ASMA A. EJAZ

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