33D0135472 CLIA NUMBER - ISLAND PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 33D0135472
  • Facility Name: ISLAND PEDIATRICS PC
  • Facility Address: 125 SLOSSON AVE
    STATEN ISLAND, NY
    ZIP 10314
  • Facility Phone: 718 494-5980
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN R. MCMAHON
  • NPI Number: 1245583137
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0135472
LAB Type Physician Office
Facility Name ISLAND PEDIATRICS PC
Street 125 SLOSSON AVE
City STATEN ISLAND
State NY
ZIP 10314
Phone 718 494-5980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Physician Office
Lab Director BRIAN R. MCMAHON

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