33D2321323 CLIA NUMBER - ISLANDER CARE MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 33D2321323
  • Facility Name: ISLANDER CARE MEDICAL PLLC
  • Facility Address: 120 BETHPAGE ROAD STE 204
    HICKSVILLE, NY
    ZIP 11801
  • Facility Phone: (718) 866-0350
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZHONGJU LU
  • NPI Number: 1407699887
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2321323
LAB Type Physician Office
Facility Name ISLANDER CARE MEDICAL PLLC
Street 120 BETHPAGE ROAD STE 204
City HICKSVILLE
State NY
ZIP 11801
Phone 7188660350
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 ZHONGJU LU

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This page was last updated on: 5/18/2026