33D2160610 CLIA NUMBER - CITY MEDICAL OF UPPER EAST SIDE PLLC DBA SUMMIT HEALTH

Laboratory Demographics

  • CLIA Code: 33D2160610
  • Facility Name: CITY MEDICAL OF UPPER EAST SIDE PLLC DBA SUMMIT HEALTH
  • Facility Address: 240 PATCHOGUE YAPHANK RD - STE 205
    EAST PATCHOGUE, NY
    ZIP 11772
  • Facility Phone: 631 361-2960
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL FROGEL
  • NPI Number: 1306278791
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2160610
LAB Type Physician Office
Facility Name CITY MEDICAL OF UPPER EAST SIDE PLLC DBA SUMMIT HEALTH
Street 240 PATCHOGUE YAPHANK RD - STE 205
City EAST PATCHOGUE
State NY
ZIP 11772
Phone 631 361-2960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Physician Office
Lab Director DR. DANIEL FROGEL

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