33D2204254 CLIA NUMBER - PLAINEDGE HIGH SCHOOL LAB

Laboratory Demographics

  • CLIA Code: 33D2204254
  • Facility Name: PLAINEDGE HIGH SCHOOL LAB
  • Facility Address: 241 WYNGATE DR
    MASSAPEQUA, NY
    ZIP 11758
  • Facility Phone: 516 992-7450
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DR. RONALD V. MARINO
  • NPI Number: 1447383849
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 33D2204254
LAB Type School/Student Health Service
Facility Name PLAINEDGE HIGH SCHOOL LAB
Street 241 WYNGATE DR
City MASSAPEQUA
State NY
ZIP 11758
Phone 516 992-7450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2020
Certificate Expiration Date 3/26/2027
Facility Type School/Student Health Service
Lab Director DR. RONALD V. MARINO

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