33D2240928 CLIA NUMBER - FIRST CALL PPE

Laboratory Demographics

CLIA Number: 33D2240928

Facility Name: FIRST CALL PPE

Facility Address:
6 CONOR LANE
OAKDALE, NY
ZIP 11769
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Facility Phone Number: 833 775-0773

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1336729359

Taxonomy: 305S00000X - Point of Service
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

CLIA Record

Field Name	Field Value
CLIA Number	33D2240928
LAB Type	Mobile Laboratory
Facility Name	FIRST CALL PPE
Street	6 CONOR LANE
City	OAKDALE
State	NY
ZIP	11769
Phone	833 775-0773
CertificateType	4
CertificateEffectiveDate	10/22/2021
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024