33D2219012 CLIA NUMBER - JOANN SPINNATO PEDIATRIC NP PLLC

Laboratory Demographics

  • CLIA Code: 33D2219012
  • Facility Name: JOANN SPINNATO PEDIATRIC NP PLLC
  • Facility Address: 101 GILLETTE AVE
    PATCHOGUE, NY
    ZIP 11772
  • Facility Phone: 631 790-3413
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JOANN T. SPINNATO
  • NPI Number: 1124291083
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 33D2219012
LAB Type Physician Office
Facility Name JOANN SPINNATO PEDIATRIC NP PLLC
Street 101 GILLETTE AVE
City PATCHOGUE
State NY
ZIP 11772
Phone 631 790-3413
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director DR. JOANN T. SPINNATO

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