33D2250555 CLIA NUMBER - MEDICAL 360 HOUSE CALL PLLC

Laboratory Demographics

CLIA Number: 33D2250555

Facility Name: MEDICAL 360 HOUSE CALL PLLC

Facility Address:
185 OLD COUNTY RD - SUITE 7
ALBERTSON, NY
ZIP 11507
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Facility Phone Number: 516 351-2213

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881119634

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 33D2250555
LAB Type Physician Office
Facility Name MEDICAL 360 HOUSE CALL PLLC
Street 185 OLD COUNTY RD - SUITE 7
City ALBERTSON
State NY
ZIP 11507
Phone 516 351-2213
CertificateType 4
CertificateEffectiveDate 1/27/2022
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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