33D2287369 CLIA NUMBER - URGENT CARE OF NEW YORK PLLC

Laboratory Demographics

CLIA Number: 33D2287369

Facility Name: URGENT CARE OF NEW YORK PLLC

Facility Address:
2112 MIDDLE COUNTRY RD
CENTEREACH, NY
ZIP 11720
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Facility Phone Number: 845 656-6868

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1962181925

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2287369
LAB Type	Other - URGENT CARE
Facility Name	URGENT CARE OF NEW YORK PLLC
Street	2112 MIDDLE COUNTRY RD
City	CENTEREACH
State	NY
ZIP	11720
Phone	845 656-6868
CertificateType	4
CertificateEffectiveDate	8/14/2023
CertificateExpirationDate	8/13/2025
FacilityType	Waiver

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