33D2302091 CLIA NUMBER - MICHAEL EPIFANIA DO

Laboratory Demographics

  • CLIA Code: 33D2302091
  • Facility Name: MICHAEL EPIFANIA DO
  • Facility Address: 59 SOUTHERN BLVD STE C
    NESCONSET, NY
    ZIP 11767
  • Facility Phone: 631 216-9253
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL EPIFANIA
  • NPI Number: 1548720030
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2302091
LAB Type Physician Office
Facility Name MICHAEL EPIFANIA DO
Street 59 SOUTHERN BLVD STE C
City NESCONSET
State NY
ZIP 11767
Phone 631 216-9253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. MICHAEL EPIFANIA

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