33D2178159 CLIA NUMBER - COMPREHENSIVE OB-GYN HEALTHCARE PC

Laboratory Demographics

CLIA Number: 33D2178159

Facility Name: COMPREHENSIVE OB-GYN HEALTHCARE PC

Facility Address:
111 W OLD COUNTRY ROAD - SUITE 102
HICKSVILLE, NY
ZIP 11801
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Facility Phone Number: 516 822-4600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881263408

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	33D2178159
LAB Type	Physician Office
Facility Name	COMPREHENSIVE OB-GYN HEALTHCARE PC
Street	111 W OLD COUNTRY ROAD - SUITE 102
City	HICKSVILLE
State	NY
ZIP	11801
Phone	516 822-4600
CertificateType	4
CertificateEffectiveDate	1/28/2024
CertificateExpirationDate	1/27/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024