33D2317323 CLIA NUMBER - SAG HARBOR SKIN AND AESTHETICS

Laboratory Demographics

  • CLIA Code: 33D2317323
  • Facility Name: SAG HARBOR SKIN AND AESTHETICS
  • Facility Address: 34 BAY STREET RM 201
    SAG HARBOR, NY
    ZIP 11963
  • Facility Phone: 631 919-5087
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MITCHELL A. KLINE
  • NPI Number: 1427194745
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 33D2317323
LAB Type Physician Office
Facility Name SAG HARBOR SKIN AND AESTHETICS
Street 34 BAY STREET RM 201
City SAG HARBOR
State NY
ZIP 11963
Phone 631 919-5087
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Physician Office
Lab Director DR. MITCHELL A. KLINE

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