33D2184168 CLIA NUMBER - ROCKVILLE CENTRE PHARMACY

Laboratory Demographics

  • CLIA Code: 33D2184168
  • Facility Name: ROCKVILLE CENTRE PHARMACY
  • Facility Address: 30 HEMPSTEAD AVE - SUITE 156
    ROCKVILLE CENTRE, NY
    ZIP 11570
  • Facility Phone: 516 764-6161
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. JONATHAN H. SUMNER
  • NPI Number: 1144380585
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 33D2184168
LAB Type Pharmacy
Facility Name ROCKVILLE CENTRE PHARMACY
Street 30 HEMPSTEAD AVE - SUITE 156
City ROCKVILLE CENTRE
State NY
ZIP 11570
Phone 516 764-6161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2020
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. JONATHAN H. SUMNER

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