33D2237459 CLIA NUMBER - BETHPAGE MEDICAL, PLLC

Laboratory Demographics

  • CLIA Code: 33D2237459
  • Facility Name: BETHPAGE MEDICAL, PLLC
  • Facility Address: 244 CROSSWAYS PARK W
    WOODBURY, NY
    ZIP 11797
  • Facility Phone: 516 416-9927
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. IMRANA M. ALI
  • NPI Number: 1760936314
  • Taxonomy: 363AM0700X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 33D2237459
LAB Type Physician Office
Facility Name BETHPAGE MEDICAL, PLLC
Street 244 CROSSWAYS PARK W
City WOODBURY
State NY
ZIP 11797
Phone 516 416-9927
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/7/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. IMRANA M. ALI

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