33D2183968 CLIA NUMBER - SOUTHAMPTON CAMP AND CLUB

Laboratory Demographics

  • CLIA Code: 33D2183968
  • Facility Name: SOUTHAMPTON CAMP AND CLUB
  • Facility Address: 665 MAJORS PATH
    SOUTHAMPTON, NY
    ZIP 11968
  • Facility Phone: 516 953-5176
  • Facility Type: Other - SUMMER CAMP
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN S. GOLDSTEIN
  • NPI Number: 1679571350
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2183968
LAB Type Other - SUMMER CAMP
Facility Name SOUTHAMPTON CAMP AND CLUB
Street 665 MAJORS PATH
City SOUTHAMPTON
State NY
ZIP 11968
Phone 516 953-5176
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2020
Certificate Expiration Date 3/26/2027
Facility Type Other - SUMMER CAMP
Lab Director DR. BRIAN S. GOLDSTEIN

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