33D0135473 CLIA NUMBER - CHARLES PATTERINO, MD, PC

Laboratory Demographics

  • CLIA Code: 33D0135473
  • Facility Name: CHARLES PATTERINO, MD, PC
  • Facility Address: 2281 VICTORY BLVD
    STATEN ISLAND, NY
    ZIP 10314
  • Facility Phone: 718 494-6400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHARLES PATTERINO
  • NPI Number: 1982677639
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0135473
LAB Type Physician Office
Facility Name CHARLES PATTERINO, MD, PC
Street 2281 VICTORY BLVD
City STATEN ISLAND
State NY
ZIP 10314
Phone 718 494-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Physician Office
Lab Director DR. CHARLES PATTERINO

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