33D2179817 CLIA NUMBER - NESCONSET MEDICAL ASSOCIATES PLLC

Laboratory Demographics

  • CLIA Code: 33D2179817
  • Facility Name: NESCONSET MEDICAL ASSOCIATES PLLC
  • Facility Address: 195 SMITHTOWN BLVD STE 104
    NESCONSET, NY
    ZIP 11767
  • Facility Phone: 631 292-0100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SAADIA N. WASTY
  • NPI Number: 1629225867
  • Taxonomy: 311Z00000X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2179817
LAB Type Physician Office
Facility Name NESCONSET MEDICAL ASSOCIATES PLLC
Street 195 SMITHTOWN BLVD STE 104
City NESCONSET
State NY
ZIP 11767
Phone 631 292-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Physician Office
Lab Director DR. SAADIA N. WASTY

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