33D2309201 CLIA NUMBER - HICKSVILLE FAMILY MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 33D2309201
  • Facility Name: HICKSVILLE FAMILY MEDICAL CARE
  • Facility Address: 232 W OLD COUNTRY RD
    HICKSVILLE, NY
    ZIP 11801
  • Facility Phone: 917 310-3371
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PRITI JAIN
  • NPI Number: 1508134578
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2309201
LAB Type Physician Office
Facility Name HICKSVILLE FAMILY MEDICAL CARE
Street 232 W OLD COUNTRY RD
City HICKSVILLE
State NY
ZIP 11801
Phone 917 310-3371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. PRITI JAIN

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