33D2297757 CLIA NUMBER - PRIME PATHOLOGY LABORATORY

Laboratory Demographics

  • CLIA Code: 33D2297757
  • Facility Name: PRIME PATHOLOGY LABORATORY
  • Facility Address: 196 MEETING HOUSE LANE
    SOUTHAMPTON, NY
    ZIP 11968
  • Facility Phone: 516 457-1806
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. PAUL J. ENDRES
  • NPI Number: 1356989388
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2297757
LAB Type Independent
Facility Name PRIME PATHOLOGY LABORATORY
Street 196 MEETING HOUSE LANE
City SOUTHAMPTON
State NY
ZIP 11968
Phone 516 457-1806
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 3/26/2027
Facility Type Independent
Lab Director DR. PAUL J. ENDRES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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