33D2321307 CLIA NUMBER - SUFFOLK PRIMARY HEALTH LLC DBA SUFFOLK HEALTH NORTH ROCKLAND

Laboratory Demographics

  • CLIA Code: 33D2321307
  • Facility Name: SUFFOLK PRIMARY HEALTH LLC DBA SUFFOLK HEALTH NORTH ROCKLAND
  • Facility Address: 222 RT 59 SUITE 108-110
    SUFFERN, NY
    ZIP 10901
  • Facility Phone: 631 208-4460
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ILAN SEMANDOV
  • NPI Number: 1174965727
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2321307
LAB Type Physician Office
Facility Name SUFFOLK PRIMARY HEALTH LLC DBA SUFFOLK HEALTH NORTH ROCKLAND
Street 222 RT 59 SUITE 108-110
City SUFFERN
State NY
ZIP 10901
Phone 631 208-4460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Physician Office
Lab Director ILAN SEMANDOV

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