33D2219556 CLIA NUMBER - JA MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2219556
  • Facility Name: JA MEDICAL PC
  • Facility Address: 161 EAST MAIN SUITE ONE
    HUNTINGTON, NY
    ZIP 11743
  • Facility Phone: 631 760-8207
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JALIL ANWIR
  • NPI Number: 1285224238
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2219556
LAB Type Physician Office
Facility Name JA MEDICAL PC
Street 161 EAST MAIN SUITE ONE
City HUNTINGTON
State NY
ZIP 11743
Phone 631 760-8207
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Physician Office
Lab Director DR. JALIL ANWIR

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