33D2287005 CLIA NUMBER - PRESTIGE MEDICAL PHYSICIANS PLLC

Laboratory Demographics

  • CLIA Code: 33D2287005
  • Facility Name: PRESTIGE MEDICAL PHYSICIANS PLLC
  • Facility Address: 175 IU WILLETS RD - SUITE 2B
    ALBERTSON, NY
    ZIP 11507
  • Facility Phone: 516 351-2213
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEVEN K. SAMUEL
  • NPI Number: 1689083826
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2287005
LAB Type Physician Office
Facility Name PRESTIGE MEDICAL PHYSICIANS PLLC
Street 175 IU WILLETS RD - SUITE 2B
City ALBERTSON
State NY
ZIP 11507
Phone 516 351-2213
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2023
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. STEVEN K. SAMUEL

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