33D2224721 CLIA NUMBER - NYC MEDICAL INFUSION PC DBA VIVO INFUSION

Laboratory Demographics

  • CLIA Code: 33D2224721
  • Facility Name: NYC MEDICAL INFUSION PC DBA VIVO INFUSION
  • Facility Address: 5225 NESCONSET HWY UNIT 36
    PORT JEFFERSON STATION, NY
    ZIP 11776
  • Facility Phone: 631 802-2062
  • Facility Type: Other - INFUSION CENTER
  • Facility Type: Waiver
  • Lab Director: DR. DAVID HERSCH
  • NPI Number: 1932619608
  • Taxonomy: 261QI0500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2224721
LAB Type Other - INFUSION CENTER
Facility Name NYC MEDICAL INFUSION PC DBA VIVO INFUSION
Street 5225 NESCONSET HWY UNIT 36
City PORT JEFFERSON STATION
State NY
ZIP 11776
Phone 631 802-2062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Other - INFUSION CENTER
Lab Director DR. DAVID HERSCH

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