33D0150968 CLIA NUMBER - MARJAN Y TABIBZADEH MD PLLC

Laboratory Demographics

  • CLIA Code: 33D0150968
  • Facility Name: MARJAN Y TABIBZADEH MD PLLC
  • Facility Address: 1615 NORTHERN BOULEVARD, SUITE 200
    MANHASSET, NY
    ZIP 11030
  • Facility Phone: 516 829-5117
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARJAN Y. TABIBZADEH
  • NPI Number: 1912283920
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0150968
LAB Type Physician Office
Facility Name MARJAN Y TABIBZADEH MD PLLC
Street 1615 NORTHERN BOULEVARD, SUITE 200
City MANHASSET
State NY
ZIP 11030
Phone 516 829-5117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Physician Office
Lab Director DR. MARJAN Y. TABIBZADEH

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