33D2232583 CLIA NUMBER - PATCHOGUE URGENT CARE PC

Laboratory Demographics

  • CLIA Code: 33D2232583
  • Facility Name: PATCHOGUE URGENT CARE PC
  • Facility Address: 144 NORTH OCEAN AVE
    PATCHOGUE, NY
    ZIP 11772
  • Facility Phone: 631 730-1189
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AZMAT IQBAL
  • NPI Number: 1457789778
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2232583
LAB Type Physician Office
Facility Name PATCHOGUE URGENT CARE PC
Street 144 NORTH OCEAN AVE
City PATCHOGUE
State NY
ZIP 11772
Phone 631 730-1189
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Physician Office
Lab Director DR. AZMAT IQBAL

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