33D2178159 CLIA NUMBER - COMPREHENSIVE OB-GYN HEALTHCARE PC

Laboratory Demographics

  • CLIA Code: 33D2178159
  • Facility Name: COMPREHENSIVE OB-GYN HEALTHCARE PC
  • Facility Address: 111 W OLD COUNTRY ROAD - SUITE 102
    HICKSVILLE, NY
    ZIP 11801
  • Facility Phone: 516 822-4600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANU KOTHARI
  • NPI Number: 1881263408
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Physician Office
Lab Director DR. ANU KOTHARI

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