33D2243072 CLIA NUMBER - NSHOA DBA NEW YORK CANCER AND BLOOD SPECIALIST

Laboratory Demographics

CLIA Number: 33D2243072

Facility Name: NSHOA DBA NEW YORK CANCER AND BLOOD SPECIALIST

Facility Address:
1055 STEWART AVE SUITE L
BETHPAGE, NY
ZIP 11714
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Facility Phone Number: 631 663-4871

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1578761730

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	33D2243072
LAB Type	Physician Office
Facility Name	NSHOA DBA NEW YORK CANCER AND BLOOD SPECIALIST
Street	1055 STEWART AVE SUITE L
City	BETHPAGE
State	NY
ZIP	11714
Phone	631 663-4871
CertificateType	2
CertificateEffectiveDate	11/7/2022
CertificateExpirationDate	11/6/2024
FacilityType	Compliance

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