33D2273206 CLIA NUMBER - EXCEL URGENT CARE OF WANTAGH PLLC

Laboratory Demographics

CLIA Number: 33D2273206

Facility Name: EXCEL URGENT CARE OF WANTAGH PLLC

Facility Address:
331 KINGS HIGHWAY
BROOKLYN, NY
ZIP 11223
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Facility Phone Number: 845 565-3700

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1306243571

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2273206
LAB Type	Other - URGENT CARE
Facility Name	EXCEL URGENT CARE OF WANTAGH PLLC
Street	331 KINGS HIGHWAY
City	BROOKLYN
State	NY
ZIP	11223
Phone	845 565-3700
CertificateType	4
CertificateEffectiveDate	12/8/2022
CertificateExpirationDate	12/7/2024
FacilityType	Waiver

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