33D2261666 CLIA NUMBER - PETER A KELT MD

Laboratory Demographics

  • CLIA Code: 33D2261666
  • Facility Name: PETER A KELT MD
  • Facility Address: 44 SOUTH FERRY RD ROUTE 114
    SHELTER ISLAND, NY
    ZIP 11964
  • Facility Phone: 631 749-9130
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PETER A. KELT
  • NPI Number: 1124092408
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 33D2261666
LAB Type Physician Office
Facility Name PETER A KELT MD
Street 44 SOUTH FERRY RD ROUTE 114
City SHELTER ISLAND
State NY
ZIP 11964
Phone 631 749-9130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Physician Office
Lab Director DR. PETER A. KELT

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