33D2160712 CLIA NUMBER - CITY MEDICAL OF UPPER EAST SIDE PLLC DBA SUMMIT HEALTH

Laboratory Demographics

  • CLIA Code: 33D2160712
  • Facility Name: CITY MEDICAL OF UPPER EAST SIDE PLLC DBA SUMMIT HEALTH
  • Facility Address: 314 MAIN STREET
    HUNTINGTON, NY
    ZIP 11743
  • Facility Phone: 631 261-4445
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL FROGEL
  • NPI Number: 1659589273
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 33D2160712
LAB Type Physician Office
Facility Name CITY MEDICAL OF UPPER EAST SIDE PLLC DBA SUMMIT HEALTH
Street 314 MAIN STREET
City HUNTINGTON
State NY
ZIP 11743
Phone 631 261-4445
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Physician Office
Lab Director DANIEL FROGEL

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This page was last updated on: 6/4/2025