33D2177219 CLIA NUMBER - WELLBRIDGE

Laboratory Demographics

  • CLIA Code: 33D2177219
  • Facility Name: WELLBRIDGE
  • Facility Address: 525 JAN WAY
    CALVERTON, NY
    ZIP 11933
  • Facility Phone: (631) 508-5400
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DR. EDMOND HAKIMI
  • NPI Number: 1528609799
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2177219
LAB Type Comp. Outpatient Rehab Facility
Facility Name WELLBRIDGE
Street 525 JAN WAY
City CALVERTON
State NY
ZIP 11933
Phone 6315085400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2020
Certificate Expiration Date 3/26/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. EDMOND HAKIMI

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This page was last updated on: 5/18/2026