33D2159167 CLIA NUMBER - DEER PARK PEDIATRIC PRACTICE PLLC

Laboratory Demographics

  • CLIA Code: 33D2159167
  • Facility Name: DEER PARK PEDIATRIC PRACTICE PLLC
  • Facility Address: 789 DEER PARK AVENUE
    NORTH BABYLON, NY
    ZIP 11703
  • Facility Phone: 631 242-7171
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEVEN PURRIER
  • NPI Number: 1205472818
  • Taxonomy: 213EP1101X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 33D2159167
LAB Type Physician Office
Facility Name DEER PARK PEDIATRIC PRACTICE PLLC
Street 789 DEER PARK AVENUE
City NORTH BABYLON
State NY
ZIP 11703
Phone 631 242-7171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Physician Office
Lab Director DR. STEVEN PURRIER

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