33D2201171 CLIA NUMBER - FIRE ISLAND SCHOOL DISTRICT

Laboratory Demographics

  • CLIA Code: 33D2201171
  • Facility Name: FIRE ISLAND SCHOOL DISTRICT
  • Facility Address: 75 SURF RD
    CORNEIL ESTATES, NY
    ZIP 11770
  • Facility Phone: 631 583-5626
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DR. JAMES FURGESON
  • NPI Number: 1740846443
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2201171
LAB Type School/Student Health Service
Facility Name FIRE ISLAND SCHOOL DISTRICT
Street 75 SURF RD
City CORNEIL ESTATES
State NY
ZIP 11770
Phone 631 583-5626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2020
Certificate Expiration Date 3/26/2027
Facility Type School/Student Health Service
Lab Director DR. JAMES FURGESON

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