33D2288921 CLIA NUMBER - NORTHWELL GOHEALTH URGENT CARE - GREAT NECK

Laboratory Demographics

CLIA Number: 33D2288921

Facility Name: NORTHWELL GOHEALTH URGENT CARE - GREAT NECK

Facility Address:
46 GREAT NECK RD
GREAT NECK, NY
ZIP 11021
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Facility Phone Number: 516 253-2844

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1720599285

Taxonomy: 261QS1200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 33D2288921
LAB Type Community Clinic
Facility Name NORTHWELL GOHEALTH URGENT CARE - GREAT NECK
Street 46 GREAT NECK RD
City GREAT NECK
State NY
ZIP 11021
Phone 516 253-2844
CertificateType 4
CertificateEffectiveDate 9/1/2023
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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