33D2282718 CLIA NUMBER - MID NASSAU OB-GYN PLLC

Laboratory Demographics

  • CLIA Code: 33D2282718
  • Facility Name: MID NASSAU OB-GYN PLLC
  • Facility Address: 1130 NORTH BROADWAY, SUITE 120
    MASSAPEQUA, NY
    ZIP 11758
  • Facility Phone: (516) 566-0805
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARK NEUMAN
  • NPI Number: 1720707169
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 33D2282718
LAB Type Physician Office
Facility Name MID NASSAU OB-GYN PLLC
Street 1130 NORTH BROADWAY, SUITE 120
City MASSAPEQUA
State NY
ZIP 11758
Phone 5165660805
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Physician Office
Lab Director DR. MARK NEUMAN

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This page was last updated on: 5/18/2026