33D2201574 CLIA NUMBER - HOUSE MD

Laboratory Demographics

  • CLIA Code: 33D2201574
  • Facility Name: HOUSE MD
  • Facility Address: 68 WILSON CREEK RD
    NEWARK VALLEY, NY
    ZIP 13811
  • Facility Phone: 631 636-6888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. DANIEL R. RAIO
  • NPI Number: 1134768591
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2201574
LAB Type Physician Office
Facility Name HOUSE MD
Street 68 WILSON CREEK RD
City NEWARK VALLEY
State NY
ZIP 13811
Phone 631 636-6888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2020
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director MR. DANIEL R. RAIO

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