33D2301225 CLIA NUMBER - JASON HALEGOUA DBA NORTH SHORE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D2301225
  • Facility Name: JASON HALEGOUA DBA NORTH SHORE PEDIATRICS
  • Facility Address: 207 HALLOCK ROAD, SUITE 106
    STONY BROOK, NY
    ZIP 11790
  • Facility Phone: (631) 675-9777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JASON HALEGOUA
  • NPI Number: 1013023555
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2301225
LAB Type Physician Office
Facility Name JASON HALEGOUA DBA NORTH SHORE PEDIATRICS
Street 207 HALLOCK ROAD, SUITE 106
City STONY BROOK
State NY
ZIP 11790
Phone 6316759777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2026
Certificate Expiration Date 3/21/2028
Facility Type Physician Office
Lab Director DR. JASON HALEGOUA

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: 5/18/2026