33D0149574 CLIA NUMBER - ALLIED PHYSICIANS GROUP PLLC DBA BAYSIDE PEDIATRIC SPECIALISTS

Laboratory Demographics

  • CLIA Code: 33D0149574
  • Facility Name: ALLIED PHYSICIANS GROUP PLLC DBA BAYSIDE PEDIATRIC SPECIALISTS
  • Facility Address: 23-25 BELL BLVD SUITE LH
    BAYSIDE, NY
    ZIP 11360
  • Facility Phone: (631) 386-4100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GRACE NUNEZ-RUSSOTTO
  • NPI Number: 1396944799
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0149574
LAB Type Physician Office
Facility Name ALLIED PHYSICIANS GROUP PLLC DBA BAYSIDE PEDIATRIC SPECIALISTS
Street 23-25 BELL BLVD SUITE LH
City BAYSIDE
State NY
ZIP 11360
Phone 6313864100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Physician Office
Lab Director DR. GRACE NUNEZ-RUSSOTTO

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