33D2187572 CLIA NUMBER - MARK MEDICAL CARE PLLC

Laboratory Demographics

  • CLIA Code: 33D2187572
  • Facility Name: MARK MEDICAL CARE PLLC
  • Facility Address: 2103 DEER PARK AVENUE 2ND FL
    DEER PARK, NY
    ZIP 11729
  • Facility Phone: 631 574-2060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RON Y. MARK
  • NPI Number: 1962745398
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2187572
LAB Type Physician Office
Facility Name MARK MEDICAL CARE PLLC
Street 2103 DEER PARK AVENUE 2ND FL
City DEER PARK
State NY
ZIP 11729
Phone 631 574-2060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Physician Office
Lab Director DR. RON Y. MARK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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