33D2213498 CLIA NUMBER - REJUVENATING FERTILITY LI PLLC

Laboratory Demographics

  • CLIA Code: 33D2213498
  • Facility Name: REJUVENATING FERTILITY LI PLLC
  • Facility Address: 380 NORTH BROADWAY STE L1
    JERICHO, NY
    ZIP 11753
  • Facility Phone: 516 755-7055
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. MARCO MOUANNESS
  • NPI Number: 1740873868
  • Taxonomy: 207VE0102X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 33D2213498
LAB Type Physician Office
Facility Name REJUVENATING FERTILITY LI PLLC
Street 380 NORTH BROADWAY STE L1
City JERICHO
State NY
ZIP 11753
Phone 516 755-7055
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Physician Office
Lab Director DR. MARCO MOUANNESS

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