33D2219241 CLIA NUMBER - TRIUMPH TREATMENT LLC

Laboratory Demographics

  • CLIA Code: 33D2219241
  • Facility Name: TRIUMPH TREATMENT LLC
  • Facility Address: 309 W PARK AVE
    LONG BEACH, NY
    ZIP 11561
  • Facility Phone: (516) 854-5400
  • Facility Type: Other - OPIOD TREATMENT PRGM
  • Facility Type: Waiver
  • Lab Director: DR. MARJORIE R. DUGUE
  • NPI Number: 1235696337
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2219241
LAB Type Other - OPIOD TREATMENT PRGM
Facility Name TRIUMPH TREATMENT LLC
Street 309 W PARK AVE
City LONG BEACH
State NY
ZIP 11561
Phone 5168545400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2021
Certificate Expiration Date 3/26/2027
Facility Type Other - OPIOD TREATMENT PRGM
Lab Director DR. MARJORIE R. DUGUE

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This page was last updated on: 5/18/2026