33D2274941 CLIA NUMBER - NASSIM MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2274941
  • Facility Name: NASSIM MEDICAL PC
  • Facility Address: 1000 NORTHERN BLVD #375
    GREAT NECK, NY
    ZIP 11021
  • Facility Phone: 516 773-3942
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROLAND NASSIM
  • NPI Number: 1790038628
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2274941
LAB Type Physician Office
Facility Name NASSIM MEDICAL PC
Street 1000 NORTHERN BLVD #375
City GREAT NECK
State NY
ZIP 11021
Phone 516 773-3942
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Physician Office
Lab Director ROLAND NASSIM

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