33D0714822 CLIA NUMBER - TOTAL CARE PEDIATRIC PLLC

Laboratory Demographics

  • CLIA Code: 33D0714822
  • Facility Name: TOTAL CARE PEDIATRIC PLLC
  • Facility Address: 42-65 KISSENA BOULEVARD, LL 4
    FLUSHING, NY
    ZIP 11355
  • Facility Phone: 718 353-2300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALICE C. LAU
  • NPI Number: 1518028430
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0714822
LAB Type Physician Office
Facility Name TOTAL CARE PEDIATRIC PLLC
Street 42-65 KISSENA BOULEVARD, LL 4
City FLUSHING
State NY
ZIP 11355
Phone 718 353-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Physician Office
Lab Director DR. ALICE C. LAU

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