33D2158517 CLIA NUMBER - EAC INC

Laboratory Demographics

CLIA Number: 33D2158517

Facility Name: EAC INC

Facility Address:
175 FULTON AVE - SUITE 403
HEMPSTEAD, NY
ZIP 11550
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Facility Phone Number: 516 486-3222

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1346302346

Taxonomy: 261QR0401X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	11/30/2018
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024