33D2305717 CLIA NUMBER - EUNICE PARK MD PLLC

Laboratory Demographics

  • CLIA Code: 33D2305717
  • Facility Name: EUNICE PARK MD PLLC
  • Facility Address: 428 JERICHO TURNPIKE
    SYOSSET, NY
    ZIP 11791
  • Facility Phone: 516 614-1880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EUNICE E. PARK
  • NPI Number: 1093396137
  • Taxonomy: 207YS0123X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 33D2305717
LAB Type Physician Office
Facility Name EUNICE PARK MD PLLC
Street 428 JERICHO TURNPIKE
City SYOSSET
State NY
ZIP 11791
Phone 516 614-1880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Physician Office
Lab Director DR. EUNICE E. PARK

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