33D2250532 CLIA NUMBER - PAULINE IZZO NURSE PRACTITIONER IN FAMILY HEALTH P DBA BENE HEALTH

Laboratory Demographics

  • CLIA Code: 33D2250532
  • Facility Name: PAULINE IZZO NURSE PRACTITIONER IN FAMILY HEALTH P DBA BENE HEALTH
  • Facility Address: 544 DARLINGTON AVENUE
    STATEN ISLAND, NY
    ZIP 10309
  • Facility Phone: 718 737-8717
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAULINE IZZO
  • NPI Number: 1659878213
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 33D2250532
LAB Type Physician Office
Facility Name PAULINE IZZO NURSE PRACTITIONER IN FAMILY HEALTH P DBA BENE HEALTH
Street 544 DARLINGTON AVENUE
City STATEN ISLAND
State NY
ZIP 10309
Phone 718 737-8717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Physician Office
Lab Director PAULINE IZZO

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