33D2232311 CLIA NUMBER - BRIAN BEZACK DO PLLC

Laboratory Demographics

  • CLIA Code: 33D2232311
  • Facility Name: BRIAN BEZACK DO PLLC
  • Facility Address: 66 COMMACK ROAD SUITE 100
    COMMACK, NY
    ZIP 11725
  • Facility Phone: 631 499-1298
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN J. BEZACK
  • NPI Number: 1407021850
  • Taxonomy: 2080P0214X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2232311
LAB Type Physician Office
Facility Name BRIAN BEZACK DO PLLC
Street 66 COMMACK ROAD SUITE 100
City COMMACK
State NY
ZIP 11725
Phone 631 499-1298
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Physician Office
Lab Director DR. BRIAN J. BEZACK

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