33D2160806 CLIA NUMBER - BETHPAGE MEDICAL PLLC DBA GARDENOBGYN

Laboratory Demographics

  • CLIA Code: 33D2160806
  • Facility Name: BETHPAGE MEDICAL PLLC DBA GARDENOBGYN
  • Facility Address: 5036 JERICHO TRKE, SUITE 205
    COMMACK, NY
    ZIP 11725
  • Facility Phone: 631 385-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL M. TERRANI
  • NPI Number: 1205074739
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 33D2160806
LAB Type Physician Office
Facility Name BETHPAGE MEDICAL PLLC DBA GARDENOBGYN
Street 5036 JERICHO TRKE, SUITE 205
City COMMACK
State NY
ZIP 11725
Phone 631 385-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Physician Office
Lab Director DR. MICHAEL M. TERRANI

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