33D2162357 CLIA NUMBER - NEW YORK PULMONARY CONSULTANTS

Laboratory Demographics

  • CLIA Code: 33D2162357
  • Facility Name: NEW YORK PULMONARY CONSULTANTS
  • Facility Address: 1500 ROUTE 112 BUILDING 2 SUITE B
    PORT JEFFERSON STATION, NY
    ZIP 11776
  • Facility Phone: 631 978-7633
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NICK PATEL
  • NPI Number: 1982060489
  • Taxonomy: 252Y00000X - Early Intervention Provider Agency

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CLIA Record

Field Name Field Value
CLIA Number 33D2162357
LAB Type Physician Office
Facility Name NEW YORK PULMONARY CONSULTANTS
Street 1500 ROUTE 112 BUILDING 2 SUITE B
City PORT JEFFERSON STATION
State NY
ZIP 11776
Phone 631 978-7633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2019
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. NICK PATEL

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