33D2288920 CLIA NUMBER - NORTHWELL GOHEALTH URGENT CARE - GLEN COVE

Laboratory Demographics

  • CLIA Code: 33D2288920
  • Facility Name: NORTHWELL GOHEALTH URGENT CARE - GLEN COVE
  • Facility Address: 71 FOREST AVE
    GLEN COVE, NY
    ZIP 11542
  • Facility Phone: 347 493-2941
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. NEAL M. SHIPLEY
  • NPI Number: 1619336260
  • Taxonomy: 273Y00000X - Rehabilitation Unit

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CLIA Record

Field Name Field Value
CLIA Number 33D2288920
LAB Type Community Clinic
Facility Name NORTHWELL GOHEALTH URGENT CARE - GLEN COVE
Street 71 FOREST AVE
City GLEN COVE
State NY
ZIP 11542
Phone 347 493-2941
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2023
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. NEAL M. SHIPLEY

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