33D2313732 CLIA NUMBER - WETCHLER MEDICAL PC DBA LAKESIDE CONCIERGE MEDICINE

Laboratory Demographics

  • CLIA Code: 33D2313732
  • Facility Name: WETCHLER MEDICAL PC DBA LAKESIDE CONCIERGE MEDICINE
  • Facility Address: 135 CROSSWAYS PARK DRIVE SUITE LL7
    WOODBURY, NY
    ZIP 11797
  • Facility Phone: 516 212-7630
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: BRIAN H. WETCHLER
  • NPI Number: 1154137073
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2313732
LAB Type Physician Office
Facility Name WETCHLER MEDICAL PC DBA LAKESIDE CONCIERGE MEDICINE
Street 135 CROSSWAYS PARK DRIVE SUITE LL7
City WOODBURY
State NY
ZIP 11797
Phone 516 212-7630
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Physician Office
Lab Director BRIAN H. WETCHLER

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