33D0143658 CLIA NUMBER - FRANK EVANOV MD

Laboratory Demographics

  • CLIA Code: 33D0143658
  • Facility Name: FRANK EVANOV MD
  • Facility Address: 1300 UNION TPKE
    NEW HYDE PARK, NY
    ZIP 11040
  • Facility Phone: 516 352-1500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANK EVANOV
  • NPI Number: 1750362984
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0143658
LAB Type Physician Office
Facility Name FRANK EVANOV MD
Street 1300 UNION TPKE
City NEW HYDE PARK
State NY
ZIP 11040
Phone 516 352-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Physician Office
Lab Director FRANK EVANOV

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