33D2205361 CLIA NUMBER - THOMAS VIGLIANTE DDS NORTH COUNTRY DENTAL CARE

Laboratory Demographics

  • CLIA Code: 33D2205361
  • Facility Name: THOMAS VIGLIANTE DDS NORTH COUNTRY DENTAL CARE
  • Facility Address: 436 NORTH COUNTRY ROAD
    ST JAMES, NY
    ZIP 11780
  • Facility Phone: 631 584-5605
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS VIGLIANTE
  • NPI Number: 1487007050
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 33D2205361
LAB Type Physician Office
Facility Name THOMAS VIGLIANTE DDS NORTH COUNTRY DENTAL CARE
Street 436 NORTH COUNTRY ROAD
City ST JAMES
State NY
ZIP 11780
Phone 631 584-5605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Physician Office
Lab Director DR. THOMAS VIGLIANTE

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