33D0150590 CLIA NUMBER - RICHARD HALLENBECK PHYSICIAN PLLC

Laboratory Demographics

  • CLIA Code: 33D0150590
  • Facility Name: RICHARD HALLENBECK PHYSICIAN PLLC
  • Facility Address: 87-08 JUSTICE AVE, SUITE CM
    ELMHURST, NY
    ZIP 11373
  • Facility Phone: 718 507-2000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD HALLENBECK
  • NPI Number: 1689682619
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0150590
LAB Type Physician Office
Facility Name RICHARD HALLENBECK PHYSICIAN PLLC
Street 87-08 JUSTICE AVE, SUITE CM
City ELMHURST
State NY
ZIP 11373
Phone 718 507-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Physician Office
Lab Director DR. RICHARD HALLENBECK

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