33D2295705 CLIA NUMBER - WYANDANCH PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D2295705
  • Facility Name: WYANDANCH PEDIATRICS
  • Facility Address: 1543 STRAIGHT PATH
    WYANDANCH, NY
    ZIP 11798
  • Facility Phone: 631 643-6006
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BELINDA A. MARQUIS
  • NPI Number: 1083007546
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D2295705
LAB Type Physician Office
Facility Name WYANDANCH PEDIATRICS
Street 1543 STRAIGHT PATH
City WYANDANCH
State NY
ZIP 11798
Phone 631 643-6006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. BELINDA A. MARQUIS

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