33D2313564 CLIA NUMBER - STATION MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2313564
  • Facility Name: STATION MEDICAL PC
  • Facility Address: 1757 NEW YORK AVE
    HUNTINGTON STATION, NY
    ZIP 11746
  • Facility Phone: 631 983-3237
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MUBUSHAR RAZA
  • NPI Number: 1821828047
  • Taxonomy: 363LP2300X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2313564
LAB Type Practitioner Other
Facility Name STATION MEDICAL PC
Street 1757 NEW YORK AVE
City HUNTINGTON STATION
State NY
ZIP 11746
Phone 631 983-3237
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Practitioner Other
Lab Director MUBUSHAR RAZA

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